Craniotomy: Any operation on the cranium or incision into the cranium. (Dorland, 28th ed)Neurosurgical Procedures: Surgery performed on the nervous system or its parts.Pneumocephalus: Presence of air or gas within the intracranial cavity (e.g., epidural space, subdural space, intracerebral, etc.) which may result from traumatic injuries, fistulous tract formation, erosions of the skull from NEOPLASMS or infection, NEUROSURGICAL PROCEDURES, and other conditions.Frontal Bone: The bone that forms the frontal aspect of the skull. Its flat part forms the forehead, articulating inferiorly with the NASAL BONE and the CHEEK BONE on each side of the face.Hematoma, Subdural, Acute: Accumulation of blood in the SUBDURAL SPACE with acute onset of neurological symptoms. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status.Trephining: The removal of a circular disk of the cranium.Head Injuries, Penetrating: Head injuries which feature compromise of the skull and dura mater. These may result from gunshot wounds (WOUNDS, GUNSHOT), stab wounds (WOUNDS, STAB), and other forms of trauma.Brain Neoplasms: Neoplasms of the intracranial components of the central nervous system, including the cerebral hemispheres, basal ganglia, hypothalamus, thalamus, brain stem, and cerebellum. Brain neoplasms are subdivided into primary (originating from brain tissue) and secondary (i.e., metastatic) forms. Primary neoplasms are subdivided into benign and malignant forms. In general, brain tumors may also be classified by age of onset, histologic type, or presenting location in the brain.Delayed Emergence from Anesthesia: Abnormally slow pace of regaining CONSCIOUSNESS after general anesthesia (ANESTHESIA, GENERAL) usually given during surgical procedures. This condition is characterized by persistent somnolence.Hematoma, Subdural: Accumulation of blood in the SUBDURAL SPACE between the DURA MATER and the arachnoidal layer of the MENINGES. This condition primarily occurs over the surface of a CEREBRAL HEMISPHERE, but may develop in the spinal canal (HEMATOMA, SUBDURAL, SPINAL). Subdural hematoma can be classified as the acute or the chronic form, with immediate or delayed symptom onset, respectively. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status.Intracranial Aneurysm: Abnormal outpouching in the wall of intracranial blood vessels. Most common are the saccular (berry) aneurysms located at branch points in CIRCLE OF WILLIS at the base of the brain. Vessel rupture results in SUBARACHNOID HEMORRHAGE or INTRACRANIAL HEMORRHAGES. Giant aneurysms (>2.5 cm in diameter) may compress adjacent structures, including the OCULOMOTOR NERVE. (From Adams et al., Principles of Neurology, 6th ed, p841)Dura Mater: The outermost of the three MENINGES, a fibrous membrane of connective tissue that covers the brain and the spinal cord.Surgical Fixation Devices: Devices used to hold tissue structures together for repair, reconstruction or to close wounds. They may consist of adsorbable or non-adsorbable, natural or synthetic materials. They include tissue adhesives, skin tape, sutures, buttons, staples, clips, screws, etc., each designed to conform to various tissue geometries.Meningeal Neoplasms: Benign and malignant neoplastic processes that arise from or secondarily involve the meningeal coverings of the brain and spinal cord.Supratentorial Neoplasms: Primary and metastatic (secondary) tumors of the brain located above the tentorium cerebelli, a fold of dura mater separating the CEREBELLUM and BRAIN STEM from the cerebral hemispheres and DIENCEPHALON (i.e., THALAMUS and HYPOTHALAMUS and related structures). In adults, primary neoplasms tend to arise in the supratentorial compartment, whereas in children they occur more frequently in the infratentorial space. Clinical manifestations vary with the location of the lesion, but SEIZURES; APHASIA; HEMIANOPSIA; hemiparesis; and sensory deficits are relatively common features. Metastatic supratentorial neoplasms are frequently multiple at the time of presentation.Frontal Sinus: One of the paired, but seldom symmetrical, air spaces located between the inner and outer compact layers of the FRONTAL BONE in the forehead.Meningioma: A relatively common neoplasm of the CENTRAL NERVOUS SYSTEM that arises from arachnoidal cells. The majority are well differentiated vascular tumors which grow slowly and have a low potential to be invasive, although malignant subtypes occur. Meningiomas have a predilection to arise from the parasagittal region, cerebral convexity, sphenoidal ridge, olfactory groove, and SPINAL CANAL. (From DeVita et al., Cancer: Principles and Practice of Oncology, 5th ed, pp2056-7)Arachnoid Cysts: Intracranial or spinal cavities containing a cerebrospinal-like fluid, the wall of which is composed of arachnoidal cells. They are most often developmental or related to trauma. Intracranial arachnoid cysts usually occur adjacent to arachnoidal cistern and may present with HYDROCEPHALUS; HEADACHE; SEIZURES; and focal neurologic signs. (From Joynt, Clinical Neurology, 1994, Ch44, pp105-115)Subdural Space: Potential cavity which separates the ARACHNOID MATER from the DURA MATER.Microsurgery: The performance of surgical procedures with the aid of a microscope.Glasgow Coma Scale: A scale that assesses the response to stimuli in patients with craniocerebral injuries. The parameters are eye opening, motor response, and verbal response.Hematoma, Epidural, Cranial: Accumulation of blood in the EPIDURAL SPACE between the SKULL and the DURA MATER, often as a result of bleeding from the MENINGEAL ARTERIES associated with a temporal or parietal bone fracture. Epidural hematoma tends to expand rapidly, compressing the dura and underlying brain. Clinical features may include HEADACHE; VOMITING; HEMIPARESIS; and impaired mental function.Tomography, X-Ray Computed: Tomography using x-ray transmission and a computer algorithm to reconstruct the image.Hematoma, Subdural, Chronic: Accumulation of blood in the SUBDURAL SPACE with delayed onset of neurological symptoms. Symptoms may include loss of consciousness, severe HEADACHE, and deteriorating mental status.Cerebrospinal Fluid Rhinorrhea: Discharge of cerebrospinal fluid through the nose. Common etiologies include trauma, neoplasms, and prior surgery, although the condition may occur spontaneously. (Otolaryngol Head Neck Surg 1997 Apr;116(4):442-9)Temporal Bone: Either of a pair of compound bones forming the lateral (left and right) surfaces and base of the skull which contains the organs of hearing. It is a large bone formed by the fusion of parts: the squamous (the flattened anterior-superior part), the tympanic (the curved anterior-inferior part), the mastoid (the irregular posterior portion), and the petrous (the part at the base of the skull).Cranial Fossa, Anterior: The compartment containing the inferior part and anterior extremities of the frontal lobes (FRONTAL LOBE) of the cerebral hemispheres. It is formed mainly by orbital parts of the FRONTAL BONE and the lesser wings of the SPHENOID BONE.Fourth Ventricle: An irregularly shaped cavity in the RHOMBENCEPHALON, located between the MEDULLA OBLONGATA; the PONS; and the isthmus in front, and the CEREBELLUM behind. It is continuous with the central canal of the cord below and with the CEREBRAL AQUEDUCT above, and through its lateral and median apertures it communicates with the SUBARACHNOID SPACE.Stereotaxic Techniques: Techniques used mostly during brain surgery which use a system of three-dimensional coordinates to locate the site to be operated on.Brain Abscess: A circumscribed collection of purulent exudate in the brain, due to bacterial and other infections. The majority are caused by spread of infected material from a focus of suppuration elsewhere in the body, notably the PARANASAL SINUSES, middle ear (see EAR, MIDDLE); HEART (see also ENDOCARDITIS, BACTERIAL), and LUNG. Penetrating CRANIOCEREBRAL TRAUMA and NEUROSURGICAL PROCEDURES may also be associated with this condition. Clinical manifestations include HEADACHE; SEIZURES; focal neurologic deficits; and alterations of consciousness. (Adams et al., Principles of Neurology, 6th ed, pp712-6)Neurosurgery: A surgical specialty concerned with the treatment of diseases and disorders of the brain, spinal cord, and peripheral and sympathetic nervous system.Hematocele: Hemorrhage into a canal or cavity of the body, such as the space covered by the serous membrane (tunica vaginalis) around the TESTIS leading to testicular hematocele or scrotal hematocele.Magnetic Resonance Imaging: Non-invasive method of demonstrating internal anatomy based on the principle that atomic nuclei in a strong magnetic field absorb pulses of radiofrequency energy and emit them as radiowaves which can be reconstructed into computerized images. The concept includes proton spin tomographic techniques.Surgical Instruments: Hand-held tools or implements used by health professionals for the performance of surgical tasks.Postoperative Complications: Pathologic processes that affect patients after a surgical procedure. They may or may not be related to the disease for which the surgery was done, and they may or may not be direct results of the surgery.Cerebellar Diseases: Diseases that affect the structure or function of the cerebellum. Cardinal manifestations of cerebellar dysfunction include dysmetria, GAIT ATAXIA, and MUSCLE HYPOTONIA.Ventriculostomy: Surgical creation of an opening in a cerebral ventricle.Surgical Flaps: Tongues of skin and subcutaneous tissue, sometimes including muscle, cut away from the underlying parts but often still attached at one end. They retain their own microvasculature which is also transferred to the new site. They are often used in plastic surgery for filling a defect in a neighboring region.Skull Base: The inferior region of the skull consisting of an internal (cerebral), and an external (basilar) surface.Consciousness Monitors: Devices used to assess the level of consciousness especially during anesthesia. They measure brain activity level based on the EEG.Brain Injuries: Acute and chronic (see also BRAIN INJURIES, CHRONIC) injuries to the brain, including the cerebral hemispheres, CEREBELLUM, and BRAIN STEM. Clinical manifestations depend on the nature of injury. Diffuse trauma to the brain is frequently associated with DIFFUSE AXONAL INJURY or COMA, POST-TRAUMATIC. Localized injuries may be associated with NEUROBEHAVIORAL MANIFESTATIONS; HEMIPARESIS, or other focal neurologic deficits.Cranial Nerve Neoplasms: Benign and malignant neoplasms that arise from one or more of the twelve cranial nerves.Skull Fractures: Fractures of the skull which may result from penetrating or nonpenetrating head injuries or rarely BONE DISEASES (see also FRACTURES, SPONTANEOUS). Skull fractures may be classified by location (e.g., SKULL FRACTURE, BASILAR), radiographic appearance (e.g., linear), or based upon cranial integrity (e.g., SKULL FRACTURE, DEPRESSED).Cerebral Angiography: Radiography of the vascular system of the brain after injection of a contrast medium.Subarachnoid Hemorrhage: Bleeding into the intracranial or spinal SUBARACHNOID SPACE, most resulting from INTRACRANIAL ANEURYSM rupture. It can occur after traumatic injuries (SUBARACHNOID HEMORRHAGE, TRAUMATIC). Clinical features include HEADACHE; NAUSEA; VOMITING, nuchal rigidity, variable neurological deficits and reduced mental status.Aneurysm, Ruptured: The tearing or bursting of the weakened wall of the aneurysmal sac, usually heralded by sudden worsening pain. The great danger of a ruptured aneurysm is the large amount of blood spilling into the surrounding tissues and cavities, causing HEMORRHAGIC SHOCK.Skull Base Neoplasms: Neoplasms of the base of the skull specifically, differentiated from neoplasms of unspecified sites or bones of the skull (SKULL NEOPLASMS).Conscious Sedation: A drug-induced depression of consciousness during which patients respond purposefully to verbal commands, either alone or accompanied by light tactile stimulation. No interventions are required to maintain a patent airway. (From: American Society of Anesthesiologists Practice Guidelines)Cerebral Veins: Veins draining the cerebrum.Intracranial Hemorrhages: Bleeding within the SKULL, including hemorrhages in the brain and the three membranes of MENINGES. The escape of blood often leads to the formation of HEMATOMA in the cranial epidural, subdural, and subarachnoid spaces.Decompression, Surgical: A surgical operation for the relief of pressure in a body compartment or on a body part. (From Dorland, 28th ed)Craniopharyngioma: A benign pituitary-region neoplasm that originates from Rathke's pouch. The two major histologic and clinical subtypes are adamantinous (or classical) craniopharyngioma and papillary craniopharyngioma. The adamantinous form presents in children and adolescents as an expanding cystic lesion in the pituitary region. The cystic cavity is filled with a black viscous substance and histologically the tumor is composed of adamantinomatous epithelium and areas of calcification and necrosis. Papillary craniopharyngiomas occur in adults, and histologically feature a squamous epithelium with papillations. (From Joynt, Clinical Neurology, 1998, Ch14, p50)Brain Diseases: Pathologic conditions affecting the BRAIN, which is composed of the intracranial components of the CENTRAL NERVOUS SYSTEM. This includes (but is not limited to) the CEREBRAL CORTEX; intracranial white matter; BASAL GANGLIA; THALAMUS; HYPOTHALAMUS; BRAIN STEM; and CEREBELLUM.Anterior Cerebral Artery: Artery formed by the bifurcation of the internal carotid artery (CAROTID ARTERY, INTERNAL). Branches of the anterior cerebral artery supply the CAUDATE NUCLEUS; INTERNAL CAPSULE; PUTAMEN; SEPTAL NUCLEI; GYRUS CINGULI; and surfaces of the FRONTAL LOBE and PARIETAL LOBE.Orbit: Bony cavity that holds the eyeball and its associated tissues and appendages.Cranial Fossa, Middle: The compartment containing the anterior extremities and half the inferior surface of the temporal lobes (TEMPORAL LOBE) of the cerebral hemispheres. Lying posterior and inferior to the anterior cranial fossa (CRANIAL FOSSA, ANTERIOR), it is formed by part of the TEMPORAL BONE and SPHENOID BONE. It is separated from the posterior cranial fossa (CRANIAL FOSSA, POSTERIOR) by crests formed by the superior borders of the petrous parts of the temporal bones.Neuroendoscopy: PROCEDURES that use NEUROENDOSCOPES for disease diagnosis and treatment. Neuroendoscopy, generally an integration of the neuroendoscope with a computer-assisted NEURONAVIGATION system, provides guidance in NEUROSURGICAL PROCEDURES.Intracranial Hemorrhage, Hypertensive: Bleeding within the SKULL that is caused by systemic HYPERTENSION, usually in association with INTRACRANIAL ARTERIOSCLEROSIS. Hypertensive hemorrhages are most frequent in the BASAL GANGLIA; CEREBELLUM; PONS; and THALAMUS; but may also involve the CEREBRAL CORTEX, subcortical white matter, and other brain structures.Skull: The SKELETON of the HEAD including the FACIAL BONES and the bones enclosing the BRAIN.Monitoring, Intraoperative: The constant checking on the state or condition of a patient during the course of a surgical operation (e.g., checking of vital signs).Surgical Drapes: Sterile fabric or fabric-like material used to isolate the surgical site from the rest of the body and other possible sources of contamination.Surgical Tape: A flat, flexible strip of material used to cover or fasten together damaged tissue.Surgical Equipment: Nonexpendable apparatus used during surgical procedures. They are differentiated from SURGICAL INSTRUMENTS, usually hand-held and used in the immediate operative field.Patents as Topic: Exclusive legal rights or privileges applied to inventions, plants, etc.Neurology: A medical specialty concerned with the study of the structures, functions, and diseases of the nervous system.Headache: The symptom of PAIN in the cranial region. It may be an isolated benign occurrence or manifestation of a wide variety of HEADACHE DISORDERS.Embolization, Therapeutic: A method of hemostasis utilizing various agents such as Gelfoam, silastic, metal, glass, or plastic pellets, autologous clot, fat, and muscle as emboli. It has been used in the treatment of spinal cord and INTRACRANIAL ARTERIOVENOUS MALFORMATIONS, renal arteriovenous fistulas, gastrointestinal bleeding, epistaxis, hypersplenism, certain highly vascular tumors, traumatic rupture of blood vessels, and control of operative hemorrhage.Seizures: Clinical or subclinical disturbances of cortical function due to a sudden, abnormal, excessive, and disorganized discharge of brain cells. Clinical manifestations include abnormal motor, sensory and psychic phenomena. Recurrent seizures are usually referred to as EPILEPSY or "seizure disorder."Optic Nerve: The 2nd cranial nerve which conveys visual information from the RETINA to the brain. The nerve carries the axons of the RETINAL GANGLION CELLS which sort at the OPTIC CHIASM and continue via the OPTIC TRACTS to the brain. The largest projection is to the lateral geniculate nuclei; other targets include the SUPERIOR COLLICULI and the SUPRACHIASMATIC NUCLEI. Though known as the second cranial nerve, it is considered part of the CENTRAL NERVOUS SYSTEM.Medical Oncology: A subspecialty of internal medicine concerned with the study of neoplasms.Neoplasms: New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.Urogenital Neoplasms: Tumors or cancer of the UROGENITAL SYSTEM in either the male or the female.Pain Measurement: Scales, questionnaires, tests, and other methods used to assess pain severity and duration in patients or experimental animals to aid in diagnosis, therapy, and physiological studies.Acetaminophen: Analgesic antipyretic derivative of acetanilide. It has weak anti-inflammatory properties and is used as a common analgesic, but may cause liver, blood cell, and kidney damage.Analgesics, Non-Narcotic: A subclass of analgesic agents that typically do not bind to OPIOID RECEPTORS and are not addictive. Many non-narcotic analgesics are offered as NONPRESCRIPTION DRUGS.Pain: An unpleasant sensation induced by noxious stimuli which are detected by NERVE ENDINGS of NOCICEPTIVE NEURONS.Dictionaries, MedicalDictionaries as Topic: Lists of words, usually in alphabetical order, giving information about form, pronunciation, etymology, grammar, and meaning.Dictionaries, ChemicalTerminology as Topic: The terms, expressions, designations, or symbols used in a particular science, discipline, or specialized subject area.Recovery Room: Hospital unit providing continuous monitoring of the patient following anesthesia.Hospital Design and Construction: The architecture, functional design, and construction of hospitals.Respiration: The act of breathing with the LUNGS, consisting of INHALATION, or the taking into the lungs of the ambient air, and of EXHALATION, or the expelling of the modified air which contains more CARBON DIOXIDE than the air taken in (Blakiston's Gould Medical Dictionary, 4th ed.). This does not include tissue respiration (= OXYGEN CONSUMPTION) or cell respiration (= CELL RESPIRATION).Insurance, Disability: Insurance designed to compensate persons who lose wages because of illness or injury; insurance providing periodic payments that partially replace lost wages, salary, or other income when the insured is unable to work because of illness, injury, or disease. Individual and group disability insurance are two types of such coverage. (From Facts on File Dictionary of Health Care Management, 1988, p207)Encyclopedias as Topic: Works containing information articles on subjects in every field of knowledge, usually arranged in alphabetical order, or a similar work limited to a special field or subject. (From The ALA Glossary of Library and Information Science, 1983)Deep Brain Stimulation: Therapy for MOVEMENT DISORDERS, especially PARKINSON DISEASE, that applies electricity via stereotactic implantation of ELECTRODES in specific areas of the BRAIN such as the THALAMUS. The electrodes are attached to a neurostimulator placed subcutaneously.Brain Mapping: Imaging techniques used to colocalize sites of brain functions or physiological activity with brain structures.Pain, Postoperative: Pain during the period after surgery.Postoperative Nausea and Vomiting: Emesis and queasiness occurring after anesthesia.Pain Management: A form of therapy that employs a coordinated and interdisciplinary approach for easing the suffering and improving the quality of life of those experiencing pain.Fascia Lata: CONNECTIVE TISSUE of the anterior compartment of the THIGH that has its origins on the anterior aspect of the iliac crest and anterior superior iliac spine, and its insertion point on the iliotibial tract. It plays a role in medial rotation of the THIGH, steadying the trunk, and in KNEE extension.Software: Sequential operating programs and data which instruct the functioning of a digital computer.Internet: A loose confederation of computer communication networks around the world. The networks that make up the Internet are connected through several backbone networks. The Internet grew out of the US Government ARPAnet project and was designed to facilitate information exchange.User-Computer Interface: The portion of an interactive computer program that issues messages to and receives commands from a user.Computer Graphics: The process of pictorial communication, between human and computers, in which the computer input and output have the form of charts, drawings, or other appropriate pictorial representation.Analgesics, Opioid: Compounds with activity like OPIATE ALKALOIDS, acting at OPIOID RECEPTORS. Properties include induction of ANALGESIA or NARCOSIS.Glioblastoma: A malignant form of astrocytoma histologically characterized by pleomorphism of cells, nuclear atypia, microhemorrhage, and necrosis. They may arise in any region of the central nervous system, with a predilection for the cerebral hemispheres, basal ganglia, and commissural pathways. Clinical presentation most frequently occurs in the fifth or sixth decade of life with focal neurologic signs or seizures.Lasers: An optical source that emits photons in a coherent beam. Light Amplification by Stimulated Emission of Radiation (LASER) is brought about using devices that transform light of varying frequencies into a single intense, nearly nondivergent beam of monochromatic radiation. Lasers operate in the infrared, visible, ultraviolet, or X-ray regions of the spectrum.Glioma: Benign and malignant central nervous system neoplasms derived from glial cells (i.e., astrocytes, oligodendrocytes, and ependymocytes). Astrocytes may give rise to astrocytomas (ASTROCYTOMA) or glioblastoma multiforme (see GLIOBLASTOMA). Oligodendrocytes give rise to oligodendrogliomas (OLIGODENDROGLIOMA) and ependymocytes may undergo transformation to become EPENDYMOMA; CHOROID PLEXUS NEOPLASMS; or colloid cysts of the third ventricle. (From Escourolle et al., Manual of Basic Neuropathology, 2nd ed, p21)Awards and PrizesMetabolomics: The systematic identification and quantitation of all the metabolic products of a cell, tissue, organ, or organism under varying conditions. The METABOLOME of a cell or organism is a dynamic collection of metabolites which represent its net response to current conditions.Canada: The largest country in North America, comprising 10 provinces and three territories. Its capital is Ottawa.Alberta: A province of western Canada, lying between the provinces of British Columbia and Saskatchewan. Its capital is Edmonton. It was named in honor of Princess Louise Caroline Alberta, the fourth daughter of Queen Victoria. (From Webster's New Geographical Dictionary, 1988, p26 & Room, Brewer's Dictionary of Names, 1992, p12)

Large and giant middle to lower basilar trunk aneurysms treated by surgical and interventional neuroradiological methods. (1/730)

Treatment of large and giant aneurysms of the basilar artery remains difficult and controversial. Three large or giant aneurysms of the lower basilar artery were treated with a combination of surgical and interventional neuroradiological procedures. All patients underwent the balloon occlusion test with hypotensive challenge (blood pressure reduced to 70% of the control value). The third patient did not tolerate the test. In the first patient, both vertebral arteries were occluded through a craniotomy. In the second patient, both the aneurysm and the basilar artery were occluded by detached balloons. In the third patient, one vertebral artery was occluded by surgical clipping and the other by detached helical coils and fiber coils. In spite of anti-coagulation and anti-platelet therapy, postoperative thrombotic or embolic ischemia occurred in the second and third patients. Fibrinolytic therapy promptly corrected the ischemic symptoms, but the second patient developed hemorrhagic complications at the craniotomy area 2 hours later. At follow-up examination, the first patient had only 8th cranial nerve paresis, the second patient who had a hemorrhagic complication was bed-ridden, and the third patient had no deficit. Interventional occlusion requires a longer segment of the parent artery compared to surgical occlusion of the parent artery and might cause occlusion of the perforating arteries. However, selected use of various coils can occlude only a short segment of the parent artery. Thus, the postoperative management of thromboembolic ischemia after the occlusion of the parent artery is easier using the interventional technique.  (+info)

Post-traumatic pituitary apoplexy--two case reports. (2/730)

A 60-year-old female and a 66-year-old male presented with post-traumatic pituitary apoplexy associated with clinically asymptomatic pituitary macroadenoma manifesting as severe visual disturbance that had not developed immediately after the head injury. Skull radiography showed a unilateral linear occipital fracture. Magnetic resonance imaging revealed pituitary tumor with dumbbell-shaped suprasellar extension and fresh intratumoral hemorrhage. Transsphenoidal surgery was performed in the first patient, and the visual disturbance subsided. Decompressive craniectomy was performed in the second patient to treat brain contusion and part of the tumor was removed to decompress the optic nerves. The mechanism of post-traumatic pituitary apoplexy may occur as follows. The intrasellar part of the tumor is fixed by the bony structure forming the sella, and the suprasellar part is free to move, so a rotational force acting on the occipital region on one side will create a shearing strain between the intra- and suprasellar part of the tumor, resulting in pituitary apoplexy. Recovery of visual function, no matter how severely impaired, can be expected if an emergency operation is performed to decompress the optic nerves. Transsphenoidal surgery is the most advantageous procedure, as even partial removal of the tumor may be adequate to decompress the optic nerves in the acute stage. Staged transsphenoidal surgery is indicated to achieve total removal later.  (+info)

Transorbital-transpetrosal penetrating cerebellar injury--case report. (3/730)

A 4-year-old boy presented with a transorbital-transpetrosal penetrating head injury after a butter knife had penetrated the left orbit. The knife tip reached the posterior fossa after penetrating the petrous bone. Wide craniotomy and the pterional, subtemporal, and lateral suboccipital approaches were performed for safe removal of the object. The patient was discharged with left-sided blindness, complete left ophthalmoplegia, and hypesthesia of the left face. Early angiography is recommended to identify vascular injury which could result in fatal intracranial hemorrhage.  (+info)

A new technique of surface anatomy MR scanning of the brain: its application to scalp incision planning. (4/730)

BACKGROUND AND PURPOSE: Surface anatomy scanning (SAS) is an established technique for demonstrating the brain's surface. We describe our experience in applying SAS with superposition of MR venograms to preoperative scalp incision planning. METHODS: In 16 patients, scalp incision planning was done by placing a water-filled plastic tube at the intended incision site when we performed SAS using half-Fourier single-shot fast spin-echo sequences. Two-dimensional phase-contrast MR angiograms were obtained to demonstrate the cortical veins and then superimposed upon the SAS images. The added images were compared with surgical findings using a four-point grading scale (0 to 3, poor to excellent). RESULTS: In each case, neurosurgeons could easily reach the lesion. Surgical findings correlated well with MR angiogram-added SAS images, with an average score of 2.56. CONCLUSION: Our simple technique is a useful means of preoperatively determining brain surface anatomy and can be used to plan a scalp incision site.  (+info)

Spontaneous cerebrospinal fluid leakage detected by magnetic resonance cisternography--case report. (5/730)

A 49-year-old male with no history of head trauma suffered cerebrospinal fluid (CSF) discharge from the left nostril for one month. Coronal computed tomography (CT) showed lateral extension of the sphenoid sinus on both sides and CSF collection on the left side. CT cisternography could not identify the site of CSF leakage. Heavily T2-weighted magnetic resonance (MR) imaging (MR cisternography) in the coronal plane clearly delineated a fistulous tract through the sphenoid bone into the sphenoid sinus. Patch graft with muscle fragment completely relieved the CSF rhinorrhea. Postoperative three-dimensional CT showed the two bone defects identified during surgery. Small bony dehiscences in the sphenoid bone and lateral extension of the sphenoid sinus predisposed the present patient to CSF fistula formation. MR cisternography in the coronal and sagittal planes is superior to CT scanning or CT cisternography for detection of the site of active CSF leakage.  (+info)

Angiographically occult dural arteriovenous malformation in the anterior cranial fossa--case report. (6/730)

A 62-year-old male presented with a dural arteriovenous malformation located in anterior cranial fossa manifesting as acute right frontal intracerebral and subdural hematomas. Cerebral angiography showed only mass sign, but surgical exploration disclosed the dural arteriovenous malformation in the anterior cranial fossa. Anterior cranial fossa dural arteriovenous malformation should be considered if computed tomography reveals intracranial bleeding involving the frontal base, even if cerebral angiography does not demonstrate vascular anomalies.  (+info)

Lumbar spinal subdural hematoma following craniotomy--case report. (7/730)

A 52-year-old female complained of lumbago and weakness in the lower extremities 6 days after craniotomy for clipping an aneurysm. Neurological examination revealed symptoms consistent with lumbosacral cauda equina compression. The symptoms affecting the lower extremities spontaneously disappeared within 3 days. Magnetic resonance (MR) imaging 10 days after the operation demonstrated a lumbar spinal subdural hematoma (SSH). She had no risk factor for bleeding at this site, the symptoms appeared after she began to walk, and MR imaging suggested the SSH was subacute. Therefore, the SSH was probably due to downward movement of blood from the cranial subdural space under the influence of gravity. SSH as a complication of cranial surgery is rare, but should be considered if a patient develops symptoms consistent with a lumbar SSH after craniotomy.  (+info)

Paraganglioma in the frontal skull base--case report. (8/730)

A 56-year-old female presented with a paraganglioma in the left anterior cranial fossa who manifesting as persistent headache. Computed tomography and magnetic resonance imaging showed a solid, enhanced tumor with a cystic component located medially. The tumor was attached to the left frontal base and the sphenoid ridge. Angiography demonstrated a hypervascular tumor fed mainly by the left middle meningeal artery at the left sphenoid ridge. The preoperative diagnosis was meningioma of the left frontal base. The tumor was totally resected via a left frontotemporal craniotomy. Histological examination revealed the characteristic cellular arrangement of paraganglioma generally designated as the "Zellbaren pattern" on light microscopy. Only 10 patients with supratentorial paraganglioma have been reported, seven located in the parasellar area. The origin of the present tumor may have been the paraganglionic cells which strayed along the middle meningeal artery at differentiation.  (+info)

*Craniotomy

In general, a craniotomy will be preceded by an MRI scan which provides an image of the brain that the surgeon uses to plan the ... A craniotomy is a surgical operation in which a bone flap is temporarily removed from the skull to access the brain. ... Human craniotomy is usually performed under general anesthesia but can be also done with the patient awake using a local ... Craniotomy is distinguished from craniectomy (in which the skull flap is not immediately replaced, allowing the brain to swell ...

*Awake craniotomy

... is a neurosurgical technique and type of craniotomy that allows a surgeon to remove a brain tumor while the ... Awake craniotomy is also associated with reduced iatrogenic brain damage after surgery. Before an awake craniotomy begins for ... The craniotomy begins with a surgeon removing an area of the skull over the tumor and cutting into the meninges, the membranes ... Awake craniotomy can be used in a variety of brain tumors, including glioblastomas, gliomas, and brain metastases. It can also ...

*Bifrontal craniotomy

... is a surgical process which is used to target different tumors or malfunctioning areas of the brain. http ... tumor/treatment/surgery/extended-bifrontal-craniotomy.html. ...

*University of Miami Division of Surgical Neurooncology

Awake Craniotomies can be used to treat tumors and focal epileptic areas in the brain. Research studies have shown that awake ... "Retrospective Awake Craniotomy Outcomes". Acta Neurochir (Wien). 151 (10): 1215-30. doi:10.1007/s00701-009-0363-9. PMID ... "Patient Acceptance of Awake Craniotomy". Clin Neurol Neurosurg. 113 (10): 880-4. doi:10.1016/j.clineuro.2011.06.010. PMID ... craniotomy may increase the feasibility of removing the entire tumor, reduces morbidity, and increases survival. Komotar, ...

*Death of Luke Borusiewicz

An emergency craniotomy was performed. After the operation he required continued ventilation and did not improve. Borusiewicz ...

*Animal model of ischemic stroke

These models require a small craniotomy. The technique of modeling ischemic stroke by transient transcranial MCAO is similar to ... craniotomy is required and common carotid artery (CCA) occlusion can be combined. Occluding one MCA and both CCAs is referred ... MCAO avoiding craniotomy Embolic middle cerebral artery occlusion Endovascular filament middle cerebral artery occlusion ( ... transient or permanent) MCAO involving craniotomy Permanent transcranial middle cerebral artery occlusion Transient ...

*Cortical stimulation mapping

CSM can be done performed on awake patients, called an awake craniotomy or in patients who have been placed under general ... Cortical stimulation mapping is an invasive procedure that has to be completed during a craniotomy. Once the dura mater is ... The more common technique for the awake craniotomy is conscious sedation. In conscious sedation, the patient is only sedated ... Patients who undergo the procedure with an awake craniotomy instead of general anesthesia have better preservation of language ...

*Epileptic seizure

Weston, J; Greenhalgh, J; Marson, AG (4 March 2015). "Antiepileptic drugs as prophylaxis for post-craniotomy seizures". The ... "Antiepileptic drugs as prophylaxis for post-craniotomy seizures". The Cochrane Database of Systematic Reviews (3): CD007286. ... is no clear evidence that antiepileptic drugs are effective or not effective at preventing seizures following a craniotomy, ...

*Marburg acute multiple sclerosis

Gormley KM, Zajicek JP (2006). "Alemtuzumab and craniotomy for severe acute demyelinating illness". 16th Meeting of the ...

*Primidone

"Anticonvulsant therapy increases fentanyl requirements during anaesthesia for craniotomy". Canadian Journal of Anesthesia. 37 ( ... reported in 1990 that primidone and other anticonvulsant drugs increase the amount of fentanyl needed during craniotomy based ...

*Central neurocytoma

The surgeons perform a craniotomy to remove the tumor. The ability to remove the tumor and to what extent it is removed is ...

*Abortion and the Catholic Church

... but had rejected direct attacks on the fetus such as craniotomy. Craniotomy was thus prohibited in 1884 and again in 1889. In ... letter published in the New York Medical Record in 1895 spoke of the Jesuit Augustine Lehmkuhl as considering craniotomy lawful ...

*Entheogenic use of cannabis

"Perforated skulls provide evidence of craniotomy in ancient China". China Economic Net. 2007-01-26. Hong-En Jiang; et al. (2006 ...

*Middle meningeal artery

Emergency treatment requires decompression of the haematoma, usually by craniotomy. Subdural bleeding is usually venous in ...

*Epidural hematoma

Treatment in generally by urgent surgery in the form of a craniotomy or burr hole. Without treatment death typically results. ... The hematoma is evacuated through a burr hole or craniotomy. If transfer to a facility with neurosurgery is prolonged ...

*Dual consciousness

Once the patient is in deep sleep, a craniotomy is performed. This procedure removes a section of the skull, leaving the brain ...

*Duret haemorrhages

... a rare complication after craniotomy--case report". Neurol. Med. Chir. (Tokyo). 40 (10): 508-10. doi:10.2176/nmc.40.508. PMID ...

*Deep hypothermic circulatory arrest

During craniotomy and dural opening, platelet-rich plasma and red blood cells can be harvested for postbypass reinfusion to aid ... Woodhall B, Sealy WC, Hall KD, Floyd WL (July 1960). "Craniotomy Under Conditions of Quinidine-Protected Cardioplegia and ... Woodhall B, Sealy WC, Hall KD, Floyd WL (July 1960). "Craniotomy Under Conditions of Quinidine-Protected Cardioplegia and ... Woodhall B, Sealy WC, Hall KD, Floyd WL (July 1960). "Craniotomy Under Conditions of Quinidine-Protected Cardioplegia and ...

*Carmustine

They are implanted under the skull during a surgery called a craniotomy. The disc allows for controlled release of carmustine ...

*Devin Galligan

The Reporter, a magazine of VUMC described the procedure as an "awake craniotomy". As they describe it, it is a "procedure [ ...

*Brain tumor

The primary and most desired course of action described in medical literature is surgical removal (resection) via craniotomy. ... Large pituitary adenomas require a craniotomy (opening of the skull) for their removal. Radiotherapy, including stereotactic ...

*Subdural hematoma

Post craniotomy for unruptured intracranial aneurysm is another risk factor for the development of chronic subdural haematoma. ... Large or symptomatic hematomas require a craniotomy, the surgical opening of the skull. A surgeon then opens the dura, removes ... subdural hematomas occasionally require craniotomy for evacuation; most frequently, simple burr holes for drainage; often ...

*Intraparenchymal hemorrhage

A craniotomy is sometimes done to remove blood, abnormal blood vessels, or a tumor. Medications may be used to reduce swelling ...

*Scalp

It may be lifted from the bone to allow removal of bone windows (craniotomy). The clinically important layer is the aponeurosis ...

*Remifentanil

It has been used effectively during craniotomies, spinal surgery, cardiac surgery, and gastric bypass surgery. While opiates ... Comparison of remifentanil and fentanyl in patients undergoing craniotomy for supratentorial space-occupying lesions. ...
We observed major improvements in quality and care efficiency during a stepwise transition of craniotomy care to multidisciplinary teams, protocols, and care pathways. To our knowledge, this is the first published report regarding the effect of this treatment model on craniotomy hospital care. During this period, the inpatient neurosurgery service at KP Sacramento Medical Center experienced substantial growth in case volume and complexity for patients who underwent craniotomy. The improved care quality and efficiency are key reasons the medical center was able to accommodate the increased craniotomy volume without expanding ICU or medical-surgical unit beds or creating a craniotomy case backlog. For example, 275 patients who underwent craniotomy required 2768 hospital days in 2008, compared with 475 patients who underwent craniotomy requiring 2599 hospital days in 2017. Once hospital bed capacity is outstripped, costs further escalate related to hospital construction costs or outsourcing of ...
Awake craniotomy is a neurosurgical technique and type of craniotomy that allows a surgeon to remove a brain tumor while the patient is awake to avoid brain damage. During the surgery, the neurosurgeon performs cortical mapping to identify vital areas, called the "eloquent brain", that should not be disturbed while removing the tumor. One particular use for awake craniotomy is mapping the motor cortex to avoid causing movement deficits with the surgery. It is more effective than surgeries performed under general anesthesia in avoiding complications. Awake craniotomy can be used in a variety of brain tumors, including glioblastomas, gliomas, and brain metastases. It can also be used for epilepsy surgery to remove a larger amount of the section of tissue causing the seizures without damaging function, for deep brain stimulation placement, or for pallidotomy. Awake craniotomy has increased the scope of tumors that are considered resectable (treatable by surgery) and in general, reduces recovery ...
If youre reading this page, chances are youve recently heard that you need to have a craniotomy. Try not to worry. Although, yes, this is brain surgery, youre more likely to die from the underlying condition itself, such as a malignant tumour or subdural hematoma. Think of it this way: insomuch as being alive is safe, which it is not, having a craniotomy is safe. We fill our days with doing laundry, replacing our brake pads at the auto shop, or making a teeth-cleaning appointment with the dentist, in the expectation that everything will be fine. But it wont. There will be a day that kills you or someone you love. Such a perspective is actually quite comforting. Taken in that light, a craniotomy can be a relaxing experience, rather than one of abject terror.. WHAT HAPPENS DURING A CRANIOTOMY?. Nearly all operations begin with the creation of a bone flap so the doctor has an opening into your brain. This opening will be sealed shut at the end with wire or titanium plates and screws. Beneath ...
Regarding the postoperative care strategies following elective craniotomy procedures there is little evidence. Many neurosurgical departments prefer these patients to remain intubated and sedated for many hours postoperatively to minimize hemodynamic and respiratory distress in fear of early postoperative complications such as rebleeding or seizures. In this prospective observational study the investigators aim to show that early tracheal extubation following elective brain surgery is feasible and safe ...
Obstructive sleep apnea (OSA) is known to be associated with negative outcomes and is underdiagnosed. The STOP-Bang questionnaire is a screening tool for OSA that has been validated in both medical and surgical populations. Given that readmission, after surgical intervention is an undesirable event, Caplan et al. sought to investigate, among patients not previously diagnosed with OSA, the capacity of the STOP-Bang questionnaire to predict 30-day readmissions following craniotomy for a supratentorial tumor.. For patients undergoing craniotomy for treatment of a supratentorial neoplasm within a multiple-hospital academic medical center, data were captured in a prospective manner via the Neurosurgery Quality Improvement Initiative (NQII) EpiLog tool. Data were collected over a 1-year period for all supratentorial craniotomy cases. An additional criterion for study inclusion was that the patient was alive at 30 postoperative days. Statistical analysis consisted of simple logistic regression, which ...
It was one, two punch for Karolee Meek. First, she learned she had cancer, and then she was told she needed brain surgery to remove a tumor. The final straw would be having her head shaved ...
bone flap - MedHelps bone flap Center for Information, Symptoms, Resources, Treatments and Tools for bone flap. Find bone flap information, treatments for bone flap and bone flap symptoms.
Olfactory groove meningioma: narrow working angle, blinded in upper portion of tumor --, frontal lobe retraction, difficult access to ethmoid arteries, difficult to repair basal skull defects ...
A 44-year-old female presented with Duret hemorrhage due to transtentorial herniation by extradural hematoma as a complication after craniotomy for treatment of spontaneous middle cranial fossa cerebrospinal fluid leakage through the oval window. Brain computed tomography revealed linear hemorrhage in the midbrain and the rostral pons. She awoke after 2 weeks in a coma, despite showing ocular bobbing and bilateral intranuclear ophthalmoplegia. She was discharged from the hospital with minimal neurological defects. Duret hemorrhage is usually fatal, but this case shows that early surgical decompression is the most important factor to avoid the worst sequelae.
BACKGROUND The aim of the present study was to evaluate the technical viability of the unilateral pterional approach to simultaneously treat symmetrical bilateral aneurysm (mirror image) of the middle cerebral arteries (SBAMCA) and to determine the morbidity and mortality rates of this approach. METHODS Forty-six patients with SBAMCA underwent unilateral pterional craniotomy within a period of 9 years. Most patients were women (24, 80.0%) and mean age was 40.7 years. RESULTS Obliteration of the contralateral aneurysm was not possible in 16 patients (34.8%) because of brain edema in 8 patients operated on during the acute phase, lateral projection of the aneurysm in 3, a very long contralateral M1 segment in 4, and the presence of atheromatous plaques at the MCA bifurcation and aneurysm neck in 1. The remaining 30 patients (65.2%) were submitted to the proposed treatment. Final evaluation showed that 26 patients (86.7%) were Glasgow Outcome Scale (GOS) V, 1 patient (3.3%) was GOS IV, 2 patients (6.6%
Brain Surgery - Craniotomy Procedure to Remove a Hematoma. This medical illustration series shows severe fractures to the skull, resulting bleeding with hematoma, and the surgical steps involved to repair them. Craniotomy, optic nerve decompression, and ethmoid sinus wall repair are featured.
Brain Surgery - Craniotomy Procedure to Remove a Hematoma. This medical illustration series shows severe fractures to the skull, resulting bleeding with hematoma, and the surgical steps involved to repair them. Craniotomy, optic nerve decompression, and ethmoid sinus wall repair are featured.
Awake craniotomy (AC) is an anesthetic and surgical technique commonly used to resect tumors involving or adjacent to the eloquent or motor cortices, those portions of the brain that are responsible for language and motor skills, respectively. By mapping those areas of the brain that are necessary for such functions, the neurosurgeon is able to avoid resection of cortical tissue that might compromise the patients abilities to speak or move, hence preserving neurologic function. AC is often accomplished by direct cortical stimulation or inhibition, while maintaining the patients ability to interact with the operative team. The anesthetic technique often involves a regional (scalp) block combined with intraoperative intravenous mild sedation. In some reported instances of AC, no cortical mapping is performed, and the technique is performed solely because it is thought that AC leads to a better recovery profile (less pain, better neurologic outcome, and shorter hospital stay) than craniotomy ...
A craniotomy is a procedure in which an opening is made in the skull to access the brain. These openings can range from the size of a dime to a very large portion of the skull. Craniotomies are done for many reasons including providing access for a biopsy of a brain tumor, repairing skull fractures, inserting pressure monitors, removal of a blood clot, removal of bullets, clipping aneurysms or relieving pressure caused by injury or bleeding in the brain. When removing brain tumors, imaging modalities including Stealth MRI is used to map the brain and the diseased tissue targeted for resection. Intra-operative nerve monitoring is also used, if indicated. When the necessary treatments have been completed, the piece of skull is replaced to close the opening ...
View details of top craniotomy hospitals in Navi Mumbai. Get guidance from medical experts to select best craniotomy hospital in Navi Mumbai
Ramin Rak MD is an expert in performing awake craniotomies. Ramin Rak MD has written about awake craniotomies in medical journals and atlases.
Wockhardt Hospitals, being one of the pioneers in healthcare, offers cranioplasty and craniotomy surgery at the N M Virani Wockhardt Hospital in Rajkot.
Craniotomy: A right-sided craniotomy is typically used (unless the surgeon is left-handed). A rectangular bone flap whose medial edge is the craniums midline is cut. The inferior edge of the craniotomy should be cut as flush as possible with the orbital roof. A bifrontal craniotomy may be useful in some cases. In these cases the superior sagittal sinus and falx should be divided as far anteriorly as possible (28). If the frontal sinus is entered, its mucosa is pushed downward before the internal wall of the sinus is removed, and the sinus should be obliterated during closure. When needed, the orbital roof can be removed by incorporating it into the frontal flap as a single piece (17 ...
A craniotomy is the surgical removal of part of the bone from the skull to expose the brain for surgery. The surgeon uses special tools to remove the section of bone (the bone flap). After the brain surgery, the surgeon replaces the bone flap.
Methods In a blinded clinical trial, 92 patients scheduled for supratentorial craniotomy under general anaesthesia were randomly allocated into either a multipoint TEAS (n=46) or a sham TEAS group (n=46). All patients received total intravenous anaesthesia (TIVA) with propofol and sufentanil. The target concentration of sufentanil was adjusted and recorded according to mean arterial pressure (MAP), heart rate (HR) and bispectral index (BIS). Patients in the TEAS group received TEAS 30 min before anaesthesia induction and this was maintained throughout the operation at four pairs of acupuncture points. Postoperative pain, recovery and side effects were evaluated. ...
128 patients entered trial, 65 had pre-operative seizures and were treated with antiepileptic drugs (AEDs) (Group A), 63 patients had no seizures prior to operation and were not taking any AEDs (Group B). 3 treatment arms for Group B randomised patients: PB, PHT and no treatment. Mean age 55 years, 34 males and 29 females undergoing supratentorial craniotomy for ...
Craniotomy and surgical removal of subdural brain hematoma (costs for program #113607) ✔ Asklepios Academic City Hospital Bad Wildungen ✔ Department of Neurosurgery and Spine Surgery ✔ BookingHealth.com
A craniotomy is a type of brain surgery that includes opening the skull, most often to remove a brain tumor. The patients head is shaved for the procedure, and the surgeon cuts out a piece of bone from the skull in order to gain access to the brain. Once all or part of the tumor has been removed, the opening in the skull is covered, typically with the same piece of bone. Wire mesh or screw plates may be used to hold the bone in place, and the skin is closed with either stitches or staples.. If blood or fluid remain in the brain tissue, the surgeon may place a drain through one of the surgical openings. Typically, the drain is only in place for a few days.. ...
The Institute of Medical Science (IMS) Data Blitz Series profiles faculty who are making significant contributions to research in the IMS. In this video Dr. Sunit Das talks about "Improving awake craniotomy and brain mapping to maximize safe resection in patients with brain tumours.". Dr. Sunit Das is a scientist in the Keenan Research Centre for Biomedical Science of St. Michaels Hospital and Assistant Professor, Surgery/Neurosurgery at St. Michaels Hospital.. ...
Christopher Mealy was an avid cyclist and attorney in Georgetown, Texas, when he started experiencing intermittent paresthesias of his right arm and slowing of his speech. An MRI of the neck did not show any abnormality, but when his paresthesia and speech difficulties continued, he consulted neurosurgeon Dr. Stanley Kim. An MRI of the brain then confirmed a 3.5 centimeter cystic lesion in the left parietotemporal area with numerous satellite lesions.. In September 2011, Dr. Kim performed a left parietal craniotomy and a computer-assisted resection of a malignant tumor using the Stealth Image Guided System. After an acute stay, Mr. Mealy was transferred to St. Davids Rehabilitation at North Austin Medical Center. After surgery, he had right sided weakness, aphasia and visual field defect. He admitted to the rehabilitation program unable to walk and required moderate assistance to transfer from the bed to the chair. He discharged from inpatient rehabilitation after three weeks walking ...
Our Neurosurgeons perform a Craniotomy to treat various brain conditions. Brain surgery is much safer & more likely to be successful than ever before due to major developments in the past 15 years.
A new paper in October issue of the journal Neurosurgical Focus finds the use of laser beneficial for the removal of large, inoperable glioblastoma (GBM) and other types of brain tumors. The paper describes how the authors treat large, inoperable tumors safely with LITT combined with a very small craniotomy.
Details of supraorbital craniotomy including details of operative approach, patient positioning, and indications. Successful approach requires gravity retraction, enhanced bony removal, brain relaxation, wide arachnoid dissection and most importantly, and strategic use of dynamic retraction.
i was diagnosed with an AVM last august after having a seizure. i had 2 embolizations and a craniotomy to remove it from my right tempral lobe. its been 10 months since my surgery and it seems like i...
Your surgeon will have to perform an Awake Craniotomy to operate on a part of your brain that is affected by a lesion or tumour that involves, or is close to, regions that control critical body functions or your sensory and linguistic capabilities.
This report describes the anatomy of the frontal branch of the seventh nerve and a technique for assuring its preservation when doing a low frontal approach. By dissecting under both layers of the temporal fascia, rapid and safe access to the inferior fronto-orbital region may be achieved. This technique is recommended for exposure of a bony lesion in the fronto-orbital region and when performing an osteoplastic pterional craniotomy.
The primary aim of surgical treatment for falcotentorial meningiomas is gross total excision. The vital surrounding brain structures make this a complex task.. Several surgical approaches have been described to treat falcotentorial meningiomas. These include infratentorial supracerebellar approach, suboccipital approach, occipital transtentorial approach, and combined supratentorial and infratentorial approaches 1) 2) 3).. There are two main issues in treating falcotentorial meningiomas. One is selecting the surgical approach, which includes design of the bone flap. The other main issue is whether main venous structures will be sacrificed for a radical tumor resection.. In all of the cases, Hong et al. tried to make an adequately sized bone flap, even when the tumor was quite large. Some authors have insisted on performing wide craniotomies for large falcotentorial meningiomas 4).. Quiñones-Hinojosa, et al. 5) described a bilateral occipital transtentorial/transfalcine approach for large ...
A craniotomy may be recommended if an abscess does not respond to aspiration or reoccurs at a later date.. During a craniotomy, the surgeon shaves a small section of your hair and removes a small piece of your skull bone (a bone flap) to gain access to your brain.. The abscess is then drained of pus or totally removed. CT-guidance may be used during the operation, to allow the surgeon to more accurately locate the exact position of the abscess.. Once the abscess has been treated, the bone is replaced. The operation usually takes around 3 hours, which includes recovery from general anaesthetic, where youre put to sleep.. ...
A step by step account of this operative procedure to examine the patients brain for evidence of a tumour. A circle of skull is removed using specialised equipment, the brain examined, the bone flap replaced, and the patient is seen in bed at the end of the procedure. Find out more: http://catalogue.wellcome.ac.uk/record=b1672153~S3. By the way, did you know you can rent movies from YouTube? Check it out now: youtube.com/movies ...
Most brain tumours can be safely removed from the surrounding brain tissue and nerves without any serious complications. More information about surgery for brain tumours here.
During a cerebral shunt procedure a flap is cut in the scalp and a small hole is drilled in the skull. A small catheter is passed into a ventricle of the brain. A pump (valve which controls flow of fluid) is attached to the catheter to keep the fluid away from the brain. The accumulation of excess fluid around the brain can cause an increase in intracranial pressure. The excess pressure can cause a decrease in blood flow to the brain leading to brain damage.. ...
OBJECT: In many new clinical trials of patients with malignant gliomas surgical intervention is incorporated as an integral part of tumor-directed interstitial therapies such as gene therapy, biodegradable wafer placement, and immunotherapy. Assessment of toxicity is a major component of evaluating these novel therapeutic interventions, but this must be done in light of known complication rates of craniotomy for tumor resection. Factors predicting neurological outcome would also be helpful for patient selection for surgically based clinical trials. METHODS: The Glioma Outcome Project is a prospectively compiled database containing information on 788 patients with malignant gliomas that captured clinical practice patterns and patient outcomes. Patients in this series who underwent their first or second craniotomy were analyzed separately for presenting symptoms, tumor and patient characteristics, and perioperative complications. Preoperative and intraoperative factors possibly related to neurological
Professor and Chairman Philip E. Stieg, PhD, MD, talks about performing brain surgery on a patient whos awake at the time - and answers the question of how you can still get a headache even though your brain does not feel pain.
Immediately after the procedure, you will be taken to a recovery room for observation before being taken to the intensive care unit (ICU) to be closely monitored. Alternately, you may be taken directly to the ICU from the operating room.. Your recovery process will vary depending on the type of procedure performed and the type of anesthesia given. Once your blood pressure, pulse, and breathing are stable and you are alert, you may be taken to the ICU or your hospital room.. After staying in the ICU, you will move to a room on a neurosurgical nursing unit in the hospital. You will remain in the hospital for several more days.. You may need oxygen for a period of time after surgery. Generally, the oxygen will be discontinued before you go home.. You will be taught deep-breathing exercises to help re-expand the lungs and prevent pneumonia.. Frequent neurological checks will be performed by the nursing and medical staff to test your brain function and to make sure your body systems are functioning ...
We scheduled the awake craniotomy to resect the toxic twinkie. In an awake craniotomy, a patient is not awake the whole time, but at some point, is awakened so that he/she can respond to commands as the brain is probed. So during surgery, I was asked to move my arms and legs, and answer some basic questions. I truly felt like an "airhead". Given the fact my head was cracked open, I did have a headache. I think the whole procedure took five to six hours. I like so say that it was like a bad Star Trek episode without the Star Trek. ...
Please consult your physician for a complete list of indications, warnings, precautions, adverse effects, clinical results and other important medical information.. The materials on this Web site are for your general educational information only. Information you read on this Web site cannot replace the relationship that you have with your health care professional. We do not practice medicine or provide medical services or advice as a part of this Web site. You should always talk to your health care professional for diagnosis and treatment.. ...
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The brain is best described as the component of your body that holds the reins to all its other major and minor systems, even while … ...
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Attention Please : Be careful against people who are trying to sell you masks, gloves, goggles etc. using our company name and only keep in touch with the people mentioned below in this e-mail. ...
I have recurrent Gliobastoma Multiforme (I think). My GBM has been sort of a shapeshifter, growing and shrinking, but mostly growing a few millimeters at a time. This time, it grew more than within the comfort zone of the Northwestern Tumor Board, so I am signed up for my 3rd (gulp) craniectomy (or craniotomy, I…
I have recurrent Gliobastoma Multiforme (I think). My GBM has been sort of a shapeshifter, growing and shrinking, but mostly growing a few millimeters at a time. This time, it grew more than within the comfort zone of the Northwestern Tumor Board, so I am signed up for my 3rd (gulp) craniectomy (or craniotomy, I…
my husband was in Mercks PD-1 inhibitor ( keytruda) between Jan 2015 and June 2015. He was on the highest dose of 10mg/kg every 2 weeks. At the time, there was no clinical trial that would guarantee he gets a PD-1 inhibitor . There was only one that randomized between avastin or Opdivo blindly and we didnt want to get avastin at the time. Hence, we went with the keytruda study grouping solid tumors together at the highest dose. He never had a swelling. What happened was 2 month after enrolling, he started having subtle enhancements that the NO was not sure whether they are inflammation or recurrence. Things stayed this way with increased enhancements till in June we decided this cant be enhancement and he sat for a craniotomy that confirmed our doubts that this was definetly recurrence with minimal swelling or inflammation. The pathology was confirmed by Both Dana Farber and Johns Hopkins ...
February 5, 2012, I went into the hospital in an ambulance. An AVM had been discovered and I needed surgery. On 2/8/12 I had an avm craniotomy. My surgery lasted about 7+ hours. I lay in bed for a few days completely on meds. My Mom has always been a devout St. Gemma follower and she brought a framed picture of her to my hospital room. I was moved from ICU to rehab. In rehab I was moved twice and St. Gemmas picture came with me. I was released from the hospital on 2/29/12. My Mom gave me the picture for myself & it remains with me. My first week home was a bit difficult, but manageable. A few weeks later I was in my room and looked at the picture. I told her who are you? I dont even know your life. I decided to go online and search. It just happened to be March 12th which I found out is her birthday. In talking to my husband, I remembered a certain nurse who came into my room. She was so nice and talked about Georgian food. (Yummy!) Than she asked me how would I describe myself. I told her Im ...
ct, scan, .stl, 3d, model, head, neck, without, contrast, frontal, temporal, parietal, occipital, hard, palate, incisor, molar, canine, teeth, tooth, dental, dentistry, craniotomy, plexus, choroid, brain, cerebellum, thalamus, Archivo .stl para impresion I00001_8.nrrd I00001_1.nrrd I00001_2.nrrd I00001_3.nrrd I00001_4.nrrd I00001_5.nrrd I00001_6.nrrd I00001_7.nrrd ...
Salmaggi, A; Simonetti, G; Trevisan, E; Beecher, D; Carapella, CM; DiMeco, F; Conti, L; Pace, A; Filippini, G; (2013) Perioperative thromboprophylaxis in patients with craniotomy for brain tumours: a systematic review. Journal of neuro-oncology, 113 (2). pp. 293-303. ISSN 0167-594X DOI: https://doi.org/10.1007/s11060-013-1115-5 Full text not available from this repository ...
A craniotomy is an operation involving opening the bones of the skull usually to control bleeding, relieve compression, or remove a tumour.
Alli was diagnosed with brain cancer back in April. Since then shes had two craniotomies, a C-section to deliver our premature baby girl, one round of chemotherapy and is currently going through radiation treatment. Were hosting a dodge ball event on August 3rd to help us cover medical bills and...
An email from Leslie Bailey, davids wife. Dear Family & Friends . . . We are home from our down and back, 485 mi, trip to Duke. We met with both Allan Friedman, Davids surgeon, and David Reardon, his neuro-oncologist. David is scheduled for his fifth craniotomy (7th brain procedure) this Friday morning, May 7. …
Western blot analyses of the three proteins hypothesized to have a reduced abundance at 24 hr after PBBI compared with sham (craniotomy surgery without PBBI); n
Diagnosed with Primary GBM grade 4 after craniotomy Feb 2018, Having radiation for 30 days and 42 days of chemo currently, then 4 weeks break and 6 months chemo. Had primary stage 3 colon cancer October 2014 followed by 12 cycles of Folfox. ...
Chaddad Neto, Feres et al. Orbitozygomatic craniotomy in three pieces: tips and tricks. Arq. Neuro-Psiquiatr., Mar 2016, vol.74, no.3, p.228-234. ISSN 0004- ...
Downloading a figure as powerpoint requires a browser with javascript support. Enable javascript and try again For help please contact [email protected] ...
Looking for online definition of craniotomy in the Medical Dictionary? craniotomy explanation free. What is craniotomy? Meaning of craniotomy medical term. What does craniotomy mean?
RESULTS: Forty-three patients (64 procedures) were included in the study. Forty-two patients (97.7%) underwent previous craniotomy for indications including intracranial neoplasia (n=32), intracranial hemorrhage (n=5), seizure disorder (n=4), and hydrocephalus (n=1). Average follow-up was 295d (range, 1-1715d; median, 124d). Nine patients (20.9%) required reoperation after their index plastic surgery intervention. Twenty-two patients (51.2%) received 24 "prophylactic" plastic surgery closures (i.e., in the absence of infection) for indications including previous craniotomy (n=22), XRT (n=19), and prior bevacizumab therapy (n=11). Three patients (13.6%) who underwent prophylactic closure (for indications including previous craniotomy +/- XRT) required further surgical intervention (12.5% of prophylactic procedures). Of note, none of the 11 patients who underwent prophylactic closure for previous craniotomy+neoadjuvant bevacizumab+XRT required repeat intervention. Fourteen patients (32.6%) in this ...
his exhibit depicts a right frontotemporoparietal craniotomy with evacuation of a subdural hematoma. The procedure begins with the creation of a skin flap over the right frontotemporoparietal skull. Next, a craniotomy flap is drilled and removed, exposing the underlying dura. An incision is made in the dura and the subdural hematoma is evacuated with suction. The dura is then closed with sutures and a Jackson-Pratt drain is inserted through a separate stab incision. Lastly, the craniotomy flap is returned to its original position and secured to the skull with plates.
TY - JOUR. T1 - Decompressive craniectomy for intractable cerebral edema. T2 - Experience of a single center. AU - Ziai, Wendy C.. AU - Port, John D.. AU - Cowan, Jhon A.. AU - Garonzik, Ira M.. AU - Bhardwaj, Anish. AU - Rigamonti, Daniele. PY - 2003/1. Y1 - 2003/1. N2 - Several case reports and small clinical series have reported benefits of decompressive hemicraniectomy in patients with intractable cerebral edema and early clinical herniation. Specific indications and timing for this intervention remain unclear. We present our experience with this procedure in a subset of 18 patients with massive cerebral edema refractory to medical management, treated with decompressive craniectomy over a 3-year period (1997 to 2000). Computerized tomography (CT) scans were independently analyzed by a neuroradiologist blinded to clinical outcome. Eleven male and seven female patients, ages 20 to 69 years (mean ± SEM, 46 ± 14 years), underwent hemicraniectomy for the following diagnoses: 12 hemispheric ...
Objectives: The present study describes our results during the last 10 years (2006-2016) regarding the preservation of the frontotemporal branch (FTB) of the facial nerve during pterional craniotomy in 450 patients using interfascial, subfascial and submuscular dissections.. Methods: We carried out a descriptive and retrospective study of historical cohort. We reviewed all the cases operated on by pterional craniotomy and performed by the same experienced surgeon of our Department of Neurosurgery during the period 2006-2016. For each reported case, we analyzed the type of temporal dissection performed and the existence or not of facial paresis in the post-surgical period as well as its evolution during the follow up at our outpatient clinic.. Results: We recorded 450 clinical cases that respected the study inclusion criteria. Our outcomes demonstrate that submuscular dissection technique presents an ARR in comparison to interfascial dissection technique of 28.88%, 5.55% and 4.44% (for the ...
The prognosis of complete MCAO is very poor.1 2 3 4 5 6 In the clinical management of patients with MCAO, early thrombolysis proved to be beneficial.13 14 However, thrombolysis increases the risk for intracranial hemorrhage.17 18 Decompressive craniectomy has shown to be a lifesaving procedure for malignant MCA infarction.4 7 8 9 10 This experimental study directly compared the benefits of early reperfusion with those of decompressive craniectomy and evaluated the effects of combined treatment on infarction size and cerebral perfusion. To maximize reperfusion effects, we chose 60 minutes of permanent MCAO. We used DWI and PWI to follow the progression of the ischemic lesion and the perfusion deficit in an animal model of hemispheric stroke.. Reperfusion at 1 hour after MCAO significantly reduced the size of the ischemic lesion compared with animals without treatment. After the suture was withdrawn, the area with a bolus delay ,2 seconds decreased from 50% to 65% to approximately 10% to 20% of ...
Ischemic damage produced in the posterior cerebral territory causes significant morbidity and urgently must be considered if the patient need a surgical attitude. Surgical decompression by suboccipital craniectomy seams to be effective to treat secondary edema due to cerebellar damage or in posterior fossa, when medical treatment is not able to control side effects. We report a clinical case of a patient with a subacute ischemic infarction in the vertebro-basilar territory, with perilesional edema, and a posterior fossa decompressive craniectomy (DC) was carried out.
Pediatric patients when undergoing craniotomies and craniofacial surgery may potentially have significant blood loss. The amount and extent will be dictated by the nature of the surgical procedure, the proximity to major blood vessels, and the age, and weight of the patient. The goals should be to maintain hemodynamic stability and oxygen carrying capacity and to prevent and treat hyperfibrinolysis and dilutional coagulopathy. Over transfusion and transfusion-related side effects should be minimized. This article will highlight the pertinent considerations for managing massive blood loss in pediatric patients undergoing craniotomies and craniofacial surgery. North American and European guidelines for intraoperative administration of fluid and blood products will be discussed. ...
Biodegradable beta-tricalcium phosphate disks (TCP) of 2 configurations were inserted into 15mm diameter craniotomy wounds and non-treated control sites were evaluated in 60 rabbits. There were no adverse tissue reactions and no apparent difference in the clinical appearance of the 12 and 24 week implanted disks. By 36 weeks and continuing to 48 weeks, the omnidirectional TCP (OTCP) implants were degrading more rapidly than the unidirectional TCP (UTCP) implants, with degradation progressing centripetally and replacement by woven bone and maturing lamellar bone. Host implant interface of both TCP configurations was a bone bond without interposed soft tissue. TCP disks may be clinically useful for craniotomy repair. Key words: Bone regeneration, tricalcium phosphate disks, calvaria; osteogenesis.*CALCIUM COMPOUNDS
FERGUSON: Further comments: Patient Age: Even though among younger patients malignant MCA infarction is more common, overall, ischemic cerebral stroke is a condition of older individuals. More specifically, more than 60% of patients are older than 50 years, and 40% are older than 60 years old (Hacke W et al. Arch Neurol 1996). Despite this, the DECIMAL and DESTINY trials only investigate the benefits of hemicraniectomy in patients younger than age 60. They had a reasonable basis for concentrating on surgical benefit for younger patients. A 2004 meta-analysis by Gupta et al., investigated the predictors of outcome following hemicraniectomy after malignant MCA infarction in138 patients. The authors found that younger age was the only pre-operative clinical determinant of survival with good functional outcome (Gupta et al., Stroke 2004). There are several other studies that come to a similar conclusion (Chen et al., J of Clin Neuroscience 2007; Curry et al., Neurosurgery 2005; Walz et al., J Neurol ...
p=0.02). Bottom line Early cranioplasty didnt raise the an infection price within PIK-293 this scholarly research. The usage of nonmetal allograft components influenced a far more essential role in an infection in cranioplasty. In fact, timing itself had not been a substantial risk element in multivariate evaluation. Therefore the early cranioplasty may provide better outcomes in cognitive wound or functions without increasing chlamydia rate. Keywords: Cranioplasty, An infection, Decompressive craniectomy, Hydroxyapatities Launch Decompressive craniectomy is normally a strategy to alleviate intracranial pressure (ICP) in a variety of emergency circumstances like traumatic human brain injury, ischemic and hemorrhagic human brain and strokes edema in human brain tumor2,3). A big defect of cranial bone tissue after decompressive craniectomy inhibits early treatment process. It really is associated with extended amount of immobility, pulmonary an infection and thromboembolic occasions. A ...
TY - JOUR. T1 - The successful use of regional anesthesia to prevent involuntary movements in a patient undergoing awake craniotomy. AU - Gebhard, Ralf E.. AU - Berry, James. AU - Maggio, William W.. AU - Gollas, Adrian. AU - Chelly, Jacques E.. PY - 2000/1/1. Y1 - 2000/1/1. UR - http://www.scopus.com/inward/record.url?scp=0033766898&partnerID=8YFLogxK. UR - http://www.scopus.com/inward/citedby.url?scp=0033766898&partnerID=8YFLogxK. U2 - 10.1213/00000539-200011000-00034. DO - 10.1213/00000539-200011000-00034. M3 - Article. C2 - 11049914. AN - SCOPUS:0033766898. VL - 91. SP - 1230. EP - 1231. JO - Anesthesia and Analgesia. JF - Anesthesia and Analgesia. SN - 0003-2999. IS - 5. ER - ...
ANALYSIS FACTORS THAT AFFECTING DELIRIUM AT POST-OPERATIVE CRANIOTOMY PATIENT IN INTENSIVE CARE UNIT (ICU) OF BANJARMASIN ULIN GENERAL HOSPITAL
The present invention is a fenestrated craniotomy drape including a main sheet, translucent anesthesia side screens, a gusset forming the corners of the anterior edges of the drape, a run-off collection pouch whose back side is pressed flat and affixed to the drape, with a back side fenestration surrounding the fenestration of the main sheet, and a front side fenestration, and adjustable tube holders. The drape optionally includes a layer of a fenestrated absorbent material between the drape and the pouch, a solids screen and drain port in the pouch, and a ductile material about the edges of the front side fenestration of the pouch that holds the pouch open. The back-side fenestration of the pouch and those of the drape and the absorbent material are covered by an incise sheet, located between the back side of the pouch and the drape. The adhesive side of the incise sheet facing the patient is covered by a releasable backing.
Video articles in JoVE about surgery oral include Non-restraining EEG Radiotelemetry: Epidural and Deep Intracerebral Stereotaxic EEG Electrode Placement, Investigating the Function of Deep Cortical and Subcortical Structures Using Stereotactic Electroencephalography: Lessons from the Anterior Cingulate Cortex, Implantation and Recording of Wireless Electroretinogram and Visual Evoked Potential in Conscious Rats, Isolation and Characterization of Satellite Cells from Rat Head Branchiomeric Muscles, Ovariectomy and 17β-estradiol Replacement in Rats and Mice: A Visual Demonstration, Using Enzyme-based Biosensors to Measure Tonic and Phasic Glutamate in Alzheimers Mouse Models, Murine Dermal Fibroblast Isolation by FACS, Neuropharmacological Manipulation of Restrained and Free-flying Honey Bees, Apis mellifera, Systemic and Local Drug Delivery for Treating Diseases of the Central Nervous System in Rodent Models, An Ultrasonic Tool for Nerve Conduction Block in Diabetic Rat Models,
A nine-year-old greater bamboo lemur (Prolemur simus) was presented for the resection of a 3×2 cm occipital brain tumour. Intracranial surgery has not been previously reported in lemurs. Pain management, maintenance of an adequate perfusion pressure in the CNS, maintenance of autoregulation, provision of neuroprotection and prevention of the complications induced by the surgical technique (positioning, haemorrhage, seizures, etc) are the challenges associated to this surgery in domestic animals. The management of anaesthesia for such a condition in a wild animal is even more challenging. This report illustrates how difficult the management of anaesthesia is in a wild animal undergoing a procedure that requires intensive care and restraint, while published information on anaesthesia and critical care in this species is limited. ...
West Alabama Neurosurgery & Spines goal is to provide quality, patient-focused neurosurgical services while remaining a medical practice of integrity and high ethical standards.
Once we arrived at the surgery pavilion at the UW, I checked in and we sat for a few moments before I was whisked away to surgery prep. When I changed into the hospital gown, and the assistant shaved the areas of my skull I got even more excited for the next leg of my journey. Next, they placed electrodes (dont know if "electrode" is the proper term, but Im just going to use it anyway because I think you get my point) around my head and drew circles via marker around each one of them to mark the proper locations for the mapping (thanks for that! It took weeks to remove the permanent marker!). The computer calculates the location of the incision, but the electrodes are placed by hand. Below is a photo of me with the computer electrode thingies all over my head. My pre-op nurse Daisy, was pretty angry at the assistant for doing such a crappy job of shaving my head (you can see in the 2nd photo the shaved hair on my pillow). She basically kicked him out of our room because she knew (I was ...
My name is Oladimeji Oladabode. I am from Nigeria. I came over to India to have surgery for multiple meningioma. And... the whole process
It was inconceivable during those first weeks, when I was critically ill, that good would come from having a stroke. However, I found out later having a stroke provided new experiences and opportunities. One day, this became very clear to me. Recently, I watched an amazing young woman, my daughter Andrea, speak to a group of nurses about how my stroke affected her life. I was filled with awe and pride at her poise and grace. Four years ago, my stroke rocked her world. I had a hemorrhagic right temporal (part of the brain next to the ear), parietal lobe stroke (largest part of the brain above the ear), followed by a craniotomy. After the stroke, the craniotomy and a broken leg, I doubted I would be able to see Andrea graduate from high school. I spent months receiving intensive rehabilitation. Initially, I could not walk or read. I needed to use a wheelchair at all times. Standing for any length of time seemed impossible. But with rehab, I learned to walk, read and navigate my world in new ways. I was
Symptomatic VTE after Surgery California Patient Discharge Database (N = 1,653,275) VTE during surgical admission or within 3 months Thromboprophylaxis data was not available Benign disease Hip replacement 2.4% Craniotomy % Knee replacement % Coronary bypass 1.1% Colectomy % Hysterectomy % TUR prostate % Lap. cholecystectomy % Malignant disease Craniotomy % Colectomy 1.7% Pneumonectomy 1.6% Rad. Prostatectomy 1.5% Hysterectomy % Mastectomy 0.4% White - Thromb Haemost 2003;90:446 VTE Toolkit
Researchers will present findings of a study testing a double-blind, placebo-controlled trial of IV acetaminophen in post-craniotomy patients at the AANS Annual Scientific Meeting.
Health management and winning practice articles, value-based healthcare, healthcare events, company and product directory, I-I-I videos and I-I-I blog interviews.
I really cling to my creative outlets to keep me as sane as I am. I do compose often. After my craniotomy Sandi brought home a synthesizer, about the same time that Barack Obama was ascending. His inspiration led me to the keyboard and I began reworking all of these old traditional patriotic songs and just having a lot of fun with it. Its a great way of kind of channeling frustration, and, like Ive told my kids, you find your gift in art and you channel your energy into it. Music did help me heal from the craniotomy, and it has gotten me to a richer and deeper understanding with the spirit force. That cuts both ways though, so, for instance, I find that if Im not finished with a song I will be haunted by it. So, I try to compose religiously. Every weekend, just to kind of get my head into that frame of mind, to shift the focus from one sense to the other, and I typically am able to kind of churn out a song in an afternoon or so. If I write a song but I have more work to do on it, it will let ...
The Tizzano Museum of Obstetrics, Gynecology, Medicine and Womens Health History is a wonderful collection of many different medical artifacts with an emphasis on womens health history.
The Tizzano Museum of Obstetrics, Gynecology, Medicine and Womens Health History is a wonderful collection of many different medical artifacts with an emphasis on womens health history.
Article just published in Journal of Neurology and Neuroscience Background: The functional outcome in patients after decompressive craniectomy in malignant mid…
Synonyms for suboccipital nerve in Free Thesaurus. Antonyms for suboccipital nerve. 155 synonyms for nerve: bravery, courage, spirit, bottle, resolution, daring, determination, guts, pluck, grit, fortitude, vigour, coolness, balls, mettle.... What are synonyms for suboccipital nerve?
This 27-bed nursing unit provides tertiary-level neurosurgery services to patients from the Peel, Metro Toronto and Halton regions. The most frequently seen cases in this unit are patients who have undergone back and neck procedures (with and without fusion), a craniotomy, extracranial vascular procedures and spinal procedures. A four-bed special care area is included within this unit for patients needing intense monitoring ...
RESULTS: Twenty-six patients with 40 CMAs were included. Three patients were considered strongly immunocompromised and presented with 4 CMAs, which demonstrated larger average size and more rapid growth; 3 of these patients aneurysms were treated invasively in the acute period, with the one that was not ruptured causing death. Technical success (aneurysm occlusion without rupture or recanalization) and clinical success (no neurologic complication attributable to the intervention) were obtained equally endovascularly and neurosurgically. Clipping was aborted in favor of coiling for 1 patient. Anticoagulation needed reversal before 2 patients underwent craniotomy for clipping after valve replacement. For CMAs treated with antibiotics alone with angiographic follow-up (n = 11), initial aneurysm size was unrelated to persistence and 64% completely regressed.. ...
I thought Id update a bit on my mom as well because I know there are some of you who read this who know my mom. After talking with some of my friends about my mom following her last surgery, they were surprised to hear that her recovery wasnt quick and uneventful. What I failed to mention is that my moms biopsy wasnt a simple needle biopsy, they did another full blown craniotomy with the thought being if the cancer was back, the neurosurgeon would place chemotherapy wafers directly into her brain. He didnt have to do that, but he did remove the scar tissue. The fact is, when someone cuts into your brain, more likely than not, you will come out with deficits. My mom had quite a few deficits going in (she suffers from expressive aphasia). Her recovery following this last surgery has been slow, but I think she is close to being back to where she was before this recent surgery. Shes been in the neuro-rehab unit of the hospital since July 3rd. She had another surgery on Tuesday to have a shunt ...
So, here is what I am most thankful for this year...I am so thankful for that annoying and ongoing sinus infection that led to a cat scan which led to an MRI which located the lurking, asymptomatic tumor deep within Elliotts brain. I am thankful for good health insurance which enabled us to have his craniotomy done by one of the best neurosurgeons in the country at minimal cost to us. I am thankful for the amazing support of our family, friends, and strangers throughout this process. Im thankful that we were able to keep our senses of humor and laugh through the most difficult times in our lives. I am thankful for an amazing surgeon who got the job done quickly and successfully. I am thankful that Elliott recovered so quickly and so well (although the first few days were horrendous). I am thankful that his tumor was benign, and there is an 85% chance that his tumor will not grow back (I live in fear of that 15% chance that it will). I am thankful that there does not seem to be a hereditary ...
So, what it comes down to is the fact that NNMC simply did not present us with a lot of information about the procedure and preparation when we met last week. Was it because they usually dont go into detail with patients or did we simply not dig deeper? To tell you the truth, I think that we were so shocked by the experience that I think he thought we had had enough, which we probably did. As the days wore on throughout the week, we learned more and more about this procedure and what is done to prepare, but I never went back to ask more questions. When we went to JH, we were ready to hear everything and asked a bunch more questions that we never asked NNMC. So, apples to apples, it looks like the two procedures are pretty much identical. The only difference is the fact that the NNMC neurosurgeon doesnt perform craniotomies as often as does JH… there is a difference in the amount of experience. And the other difference is Bethesda is not a well known teaching facility whose name rings around ...
Oh, and, apparently there is some sort of bacteria growing on his skull so they cant use it and are putting in a plastic prosthetic instead. Yup. Hes getting a CAT scan and they are getting measurements from that and will, using those measurements, be able to mold the plastic for his skull piece. Now, you know youve been through a lot when the thought of plastic instead of skull in your husbands head doesnt really phase you. But I do have to ask, did they put it in tupperware, or ziploc? A gum wrapper? I mean this is a world renown hospital. I guess were doing better than the woman whos skull got thrown out when she had her craniotomy in Mexico. Yup, again ...
This article explains how a Craniotomy method was done to remove some NF2 tumors and explains how an IV drain was put in place to drain the Cerebrospinal-Fluid (CSF), to prevent a CSF leak following surgery.
Its been a little over two years since my diagnosis, embolisms, and craniotomy. Ive been doing amazingly well…my hair grew back except where the scar is. To look at me youd never know I had brain surgery. I had the…
Id like to nominate my family for your deserving family photo session. On Nov 13th Of this year (yes, just over a month ago) I brought my Mom to the hospital because I suspected she was having a mild stroke. At exactly 4pm that day, they told us she had a massive brain tumor...and our lives changed forever. My Mom, just 63, has always been vibrant, active, independent, and the life of the party. Since her diagnosis and subsequent craniotomy two days later, she has become flat, dependant and Someone so unlike the Mom I know. She has been living in my home since being released from the hospital. We go to Hartford everyday for radiation treatments and she takes chemo pills every night. But the tumor progresses and her memory and abilities have become limited -- even in such a very short time. After being told she had a prognosis of 12 months when she was first diagnosed, the oncologists now tell me she is more likely to pass within 3 to 6 months. This all happened so suddenly. ...
Id like to nominate my family for your deserving family photo session. On Nov 13th Of this year (yes, just over a month ago) I brought my Mom to the hospital because I suspected she was having a mild stroke. At exactly 4pm that day, they told us she had a massive brain tumor...and our lives changed forever. My Mom, just 63, has always been vibrant, active, independent, and the life of the party. Since her diagnosis and subsequent craniotomy two days later, she has become flat, dependant and Someone so unlike the Mom I know. She has been living in my home since being released from the hospital. We go to Hartford everyday for radiation treatments and she takes chemo pills every night. But the tumor progresses and her memory and abilities have become limited -- even in such a very short time. After being told she had a prognosis of 12 months when she was first diagnosed, the oncologists now tell me she is more likely to pass within 3 to 6 months. This all happened so suddenly. ...
Yesterday and today have been very intense, involving many conversations with doctors after putting a hold on the diagnostic craniotomy Dr. Forman planned--purposes of determining what is in being seen--inflammation? fungal, viral, or bacterial infection? leukemia relapse or other tumor? these have been the burning questions since i was admittedon friday ...
BLENDING LEARNING WITH EXPERIENCE: EAST students Maddie Scott and Ella Pace filmed a Craniotomy procedure today. The surgery removed a 5mm tumor from…. Read More ...
TY - JOUR. T1 - Outcome following decompressive craniectomy for malignant middle cerebral artery infarction in children. AU - Smith, Sabrina E.. AU - Kirkham, Fenella J.. AU - Deveber, Gabrielle. AU - Millman, Guy. AU - Dirks, Peter B.. AU - Wirrell, Elaine C. AU - Telfeian, Albert E.. AU - Sykes, Kim. AU - Barlow, Karen. AU - Ichord, Rebecca. PY - 2011/1. Y1 - 2011/1. N2 - Aim: Mortality from malignant middle cerebral artery infarction (MMCAI) approaches 80% in adult series. Although decompressive craniectomy decreases mortality and leads to an acceptable outcome in selected adult patients, there are few data on MMCAI in children with stroke. This study evaluated the frequency of MMCAI and the use of decompressive craniectomy in children. Method: We retrospectively reviewed cases of MMCAI from five pediatric tertiary care centers. Results: Ten children (two females, eight males; median age 9y 10mo, range 22mo-14y) had MMCAI, with a median Glasgow Coma Scale score of 6 (range 3-9). MMCAI ...
Background: Traumatic subdural hematoma is one of the severe injuries to brain with high mortality rates. Dural opening is often associated with brain herniation against the dural edges due to associated edema that would lead to venous infarction. Aim: The objective of this study is to describe a technical note that would allow fast and effective closure of the dura after hematoma evacuation via duraplasty with analysis of the safety and competency of the technique. Subjects and Methods: The fast-track technique was implemented in 15 successive cases with acute subdural hematoma where the fascia lata flap was prepared and sutured to the planned dural incision before opening the dura, which allowed fast and effective closure of the dura before brain herniation. Subdural bridges were planned by using Gelfoam to prevent venous compression. Analysis of the technique effectiveness was performed by the operative detection of brain herniation, as well as clinical and radiological follow-up of patients. Results
Pseudoaneurysms of the superficial temporal artery are an uncommon vascular lesion of the external carotid system and most often the result of blunt head trauma. The frequency of pseudoaneurysms of the superficial temporal artery developing after craniotomy is exceedingly low and only a few cases have been reported. We present a case of pseudoaneurysm of this type in a 45-year-old male who underwent craniotomy for excision of meningioma. One month postoperatively, the craniotomy flap exhibited an enormous diffuse pulsate swelling. The suspected diagnosis of pseudoaneurysm arising from superficial temporal artery was confirmed on angiography. Surgical excision was done and no recurrences of the tumor or aneurysm were noted on subsequent follow up.
Cerebral venous sinus thrombosis (CVST) usually is taken care of by medical management or neuro-interventional vascular techniques. Some cases of CVST may take a malignant course if the intracranial pressure increases excessively. This increase in pressure is because of oedema in brain tissue due to impediment in venous return and/or intracerebral haemorrhage. Neurosurgical experience has shown remarkable recovery in these moribund patients if appropriate surgical intervention is done within reasonable time. Emergent decompressive craniotomy or other neurosurgical interventions are the only appropriate treatment in these malignant forms of CVST to prevent mortality and severe morbidity.
Chronic subdural haematoma is a collection of liquid (as opposed to solid or clotted) blood between the brain and the lining of the brain (the dura).. Chronic subdural haematoma occurs more commonly in the elderly, as their brains tend to shrink a little and the veins running from the brain to the sinuses on the inside of the skull are more prone to rupture by stretching. This can occur after a minor trauma.. ...
All patients presenting with chronic subdural haematomas over the three year period to Kenyatta National Hospital, Nairobi have been reviewed. Of the fifty-one patients five were diagnosed at postmortem. Of the remaining forty-six patients who were operated seven died. Diagnostic failure was caused mainly by failure to consider the possibility of a chronic subdural haematoma. An attempt has been made to characterise the clinical pattern that may suggest the presence of chronic subdural haematoma ...
see Venous infarction. Venous air embolism (VAE) during an elective craniotomy for parasagittal meningioma resection. The surgery was done in the supine position with slightly elevated head position. VAE was provisionally diagnosed by sudden decreased in the end tidal carbon dioxide pressure from 34 to 18 mmHg, followed by marked hypotension and atrial fibrillation. Prompt central venous blood aspiration, aggressive resuscitation and inotropic support managed to stabilize the patient. Post operatively, he was admitted in neuro intensive care unit and made a good recovery without serious complications 15).. Intraoperative fatal pulmonary embolism 16).. Paraparesis can occur as a primary presentation of brain pathology at the motor strip along the parasagittal region. It could also occur as a neurological complication especially following resection of parasagittal meningioma with infiltration of the superior sagittal sinus (SSS). We report a case of a complete paraparesis immediately following ...
Question 2.. Options List. A.) Acute on chronic subdural haematoma. B.) Acute subdural haematoma. C.) Cerebral abscess. D.) Cerebral metastases. E.) Chronic subdural haematoma. F.) Diffuse axonal injury. G.) Extradural haematoma. H.) Intracranial haemorrhage. I.) Posterior fossa mas. J.) Subarachnoid haemorrhage. Lead in statement:. For each image select the most appropriate diagnosis. Stems:. 1.. ...

anterior fossa meningioma 2005:2010[pubdate] *count=100 - BioMedLib™ search engineanterior fossa meningioma 2005:2010[pubdate] *count=100 - BioMedLib™ search engine

Craniotomy / adverse effects. Craniotomy / methods. Frontal Lobe / surgery. Meningeal Neoplasms / surgery. Meningioma / surgery ... MeSH-major] Craniotomy / methods. Meningeal Neoplasms / surgery. Meningioma / surgery. Microsurgery / methods. *[MeSH-minor] ... Noguchi A, Balasingam V, McMenomey SO, Delashaw JB Jr: Supraorbital craniotomy for parasellar lesions. Technical note. J ... Chi JH, Parsa AT, Berger MS, Kunwar S, McDermott MW: Extended bifrontal craniotomy for midline anterior fossa meningiomas: ...
more infohttp://www.bmlsearch.com/?kwr=anterior+fossa+meningioma+2005:2010%5Bpubdate%5D&cxts=100&stmp=b0

Sabinet | Minimally invasive approach for lesions involving the frontal sinus : ENTSabinet | Minimally invasive approach for lesions involving the frontal sinus : ENT

This approach avoids the morbidity associated with a craniotomy and obviates the need for postoperative intensive care required ... Traditional open surgery for frontal sinus pathology and cerebrospinal fluid (CSF) leaks is complex and involves a craniotomy. ... Conclusion. This approach avoids the morbidity associated with a craniotomy and obviates the need for postoperative intensive ... leaks is complex and involves a craniotomy. Minimally invasive options offer an alternate solution. We describe and assess the ...
more infohttp://journals.co.za/content/m_sajs/53/2/EJC173904

Surgical drapes,general surgery drapes,surgical drapes manufacturer,India,surgical drapes exporter,suppliers,manufacturers...Surgical drapes,general surgery drapes,surgical drapes manufacturer,India,surgical drapes exporter,suppliers,manufacturers...

Manufacturer,Exporter,Supplier of surgical drapes,general surgery drapes - SURGEINE HEALTHCARE (INDIA) PVT. LTD. - Visit through online business catalog for surgical drapes manufacturers,surgical drapes exporters,surgical drapes suppliers
more infohttp://www.surgeine.co.in/company-profile.html

Arachnoid Cyst - Columbia NeurosurgeryArachnoid Cyst - Columbia Neurosurgery

The three most common surgical treatments for arachnoid cysts in the brain are craniotomy fenestration, endoscopic cyst ... Craniotomy Cranoitomy Deep Brain Stimulation Deformity Correction And Stabilization Diagnostic Angiography Diagnostic Radiology ... Craniotomy Cranoitomy Deformity Correction And Stabilization EC-IC Bypass Embolization Embolisation Embolizasion Emboluzation ...
more infohttp://www.columbianeurosurgery.org/conditions/arachnoid-cysts/

Craniotomy | Johns Hopkins MedicineCraniotomy | Johns Hopkins Medicine

A craniotomy is the surgical removal of part of the bone from the skull to expose the brain for surgery. The surgeon uses ... Craniotomy. Facebook Twitter Linkedin Pinterest Print. What is a craniotomy? A craniotomy is the surgical removal of part of ... Types of Craniotomy Extended Bifrontal Craniotomy The extended bifrontal craniotomy is a traditional skull base approach used ... Retro-Sigmoid "Keyhole" Craniotomy Retro-sigmoid craniotomy (often called "keyhole" craniotomy) is a minimally-invasive ...
more infohttps://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/craniotomy

Patent US6269815 - Craniotomy drape - Google PatentsPatent US6269815 - Craniotomy drape - Google Patents

The present invention is a fenestrated craniotomy drape including a main sheet, translucent anesthesia side screens, a gusset ... A method of draping a patient for craniotomy procedures comprising using the craniotomy drape of claim 1. ... The craniotomy drape 110 is taken out of a pack (not shown) and draped over an overhead table 15 (see FIG. 1 and FIG. 6), and ... The craniotomy drape of the current invention, is generally used as illustrated by 110 in FIG. 1. It is draped over a surgical ...
more infohttp://www.google.com/patents/US6269815?dq=3984803

headaches after a craniotomy - Neurology - MedHelpheadaches after a craniotomy - Neurology - MedHelp

i had 2 embolizations and a craniotomy to remove it from my right tempral lobe. its been 10 months since my surgery and it ... headaches after a craniotomy rickb1980 i was diagnosed with an AVM last august after having a seizure. i had 2 embolizations ... headaches after a craniotomy. i was diagnosed with an AVM last august after having a seizure. i had 2 embolizations and a ... and a craniotomy to remove it from my right tempral lobe. its been 10 months since my surgery and it seems like ive had a ...
more infohttps://www.medhelp.org/posts/Neurology/headaches-after-a-craniotomy/show/1311298

post-craniotomy headaches - Brain (Cerebral) Aneurysm - MedHelppost-craniotomy headaches - Brain (Cerebral) Aneurysm - MedHelp

My wife, 47, had a craniotomy & clipping for an unruptured aneurysm in 2009. This was a single PCOM aneurysm, about 13 mm in ...
more infohttps://medhelp.org/posts/Brain-Cerebral-Aneurysm/post-craniotomy-headaches/show/1450852

Craniotomy | StayWell Health Library | MainCraniotomy | StayWell Health Library | Main

Craniotomy What is a craniotomy? A craniotomy is the surgical removal of part of the bone from the skull to expose the brain ... ANerv_20140304_v0_002 For some craniotomy procedures, doctors use computers and imaging (magnetic resonance imaging [MRI] or ... Craniotomy. What is a craniotomy?. A craniotomy is the surgical removal of part of the bone from the skull to expose the brain ... Why might I need a craniotomy?. Doctors may do a craniotomy for a variety of reasons, including to:. *Diagnose, remove, or ...
more infohttp://www.lifebridgehealth.org/Main/HealthLibrary.aspx?iid=92_P08767

CraniotomyCraniotomy

A craniotomy is an operation where a disc of bone is removed from the skull using special tools to allow access to the ... Craniotomy. A craniotomy is an operation where a disc of bone is removed from the skull using special tools to allow access to ... How is a craniotomy performed?. We will give you a general anaesthetic so that youll be asleep during the operation. Your ... Home , Our services , Brain, spine and neuromuscular , Neurosurgery , Diagnosis and treatment , Brain tumours , Craniotomy ...
more infohttp://www.uhs.nhs.uk/OurServices/Brainspineandneuromuscular/Neurosurgery/Diagnosisandtreatment/Braintumours/Craniotomy.aspx?ContensisTextOnly=true

Sitting craniotomy - ONASitting craniotomy - ONA

Craniotomy in the sitting position is high risk for VAE because the venous sinuses are noncollapsible. The incidence of VAE ... Pneumochephalus: During craniotomy in an upright position, intracranial volume is decreased due to CSF loss, good venous ... Since sitting craniotomy is usually elective, all underlying medical conditions should be completely evaluated and optimized ... The decision to extubate at the end of sitting craniotomy depends on general criteria as well as the preoperative neurologic ...
more infohttp://www.oncologynurseadvisor.com/anesthesiology/sitting-craniotomy/article/582460/

Craniotomy | definition of craniotomy by Medical dictionaryCraniotomy | definition of craniotomy by Medical dictionary

... craniotomy explanation free. What is craniotomy? Meaning of craniotomy medical term. What does craniotomy mean? ... Looking for online definition of craniotomy in the Medical Dictionary? ... craniotomy. /cra·ni·ot·o·my/ (kra″ne-ot´ah-me) any operation on the cranium.. craniotomy. (krā′nē-ŏt′ə-mē). n. pl. cranioto· ... craniotomy. Also found in: Dictionary, Thesaurus, Wikipedia. Craniotomy. Definition. Surgical removal of part of the skull to ...
more infohttp://medical-dictionary.thefreedictionary.com/craniotomy

Awake Craniotomy During Pregnancy : Journal of Neurosurgical AnesthesiologyAwake Craniotomy During Pregnancy : Journal of Neurosurgical Anesthesiology

Awake Craniotomy During Pregnancy. Al Mashani, Ali M., MD*; Ali, Azmat, MS*; Chatterjee, Nilay, MD, DM†; Suri, Neelam, FFARCS‡ ...
more infohttps://journals.lww.com/jnsa/Citation/2018/10000/Awake_Craniotomy_During_Pregnancy.15.aspx

Intravenous Acetaminophen in Craniotomy - Full Text View - ClinicalTrials.govIntravenous Acetaminophen in Craniotomy - Full Text View - ClinicalTrials.gov

Intravenous Acetaminophen in Craniotomy. The safety and scientific validity of this study is the responsibility of the study ... The Opioid-Sparing and Analgesic Effects of IV Acetaminophen in Craniotomy: A Prospective, Randomized, Placebo-Controlled, ... Surgical plan for infratentorial (suboccipital) craniotomy.. *Plan for neurophysiologic monitoring that precludes the use of ... as an effective adjunct therapeutic agent in patients undergoing craniotomy. ...
more infohttps://www.clinicaltrials.gov/ct2/show/NCT01598701?term=ACETAMINOPHEN&rank=73

Minipterional Versus Pterional Craniotomy - Full Text View - ClinicalTrials.govMinipterional Versus Pterional Craniotomy - Full Text View - ClinicalTrials.gov

Pterional craniotomy Minipterional craniotomy. Procedure: Minipterional craniotomy Minipterional craniotomy approach for ... Pterional craniotomy Minipterional craniotomy. Procedure: Minipterional craniotomy Minipterional craniotomy approach for ... Minipterional Versus Pterional Craniotomy. The safety and scientific validity of this study is the responsibility of the study ... and aesthetic results of minipterional and classic pterional craniotomies. J Neurosurg. 2015 May;122(5):1012-9. doi: 10.3171/ ...
more infohttps://www.clinicaltrials.gov/ct2/show/NCT01872741

Towards Augmented Reality Guided Craniotomy Planning in Tumour Resections | SpringerLinkTowards Augmented Reality Guided Craniotomy Planning in Tumour Resections | SpringerLink

Augmented reality Tumour resection Craniotomy Image-guided neurosurgery This is a preview of subscription content, log in to ... In this paper we explore the use of augmented reality for planning craniotomies in image-guided neurosurgery procedures for ... Mahvash, M., Boettcher, I., Petridis, A.K., Besharati Tabrizi, L.: Image guided versus conventional brain tumor and craniotomy ... Towards Augmented Reality Guided Craniotomy Planning in Tumour Resections. In: Zheng G., Liao H., Jannin P., Cattin P., Lee SL ...
more infohttps://link.springer.com/chapter/10.1007/978-3-319-43775-0_15

Craniotomy | Sky Ridge Medical CenterCraniotomy | Sky Ridge Medical Center

Learn more about Craniotomy at Sky Ridge Medical Center DefinitionReasons for ProcedurePossible ComplicationsWhat to ExpectCall ... Craniotomies vary in size depending on what the problem is.. A craniotomy is any surgical opening into the skull, but it can ... A craniotomy is a surgical procedure to open the skull. A part of the skull, called a bone flap, is removed to gain access to ... Local anesthesia-Used for stereotactic craniotomies. This blocks around the surgical site from pain, but you will still be ...
more infohttps://skyridgemedcenter.com/hl/?/529357/craniotomy

Case 11: Awake Craniotomy | SpringerLinkCase 11: Awake Craniotomy | SpringerLink

... for an awake craniotomy. His past history included previous surgery under general anesthesia for... ... Awake craniotomy Seizure disorder Brain tumor Monitored anesthesia care Language mapping Polar Air Model 600 Remifentanil ... Awake craniotomy in an adolescent. Anaesth Intensive Care. 2001;29:423-5.PubMedGoogle Scholar ... Brock-Utne J.G. (2017) Case 11: Awake Craniotomy. In: Clinical Anesthesia. Springer, Cham. * First Online 02 March 2018 ...
more infohttps://link.springer.com/chapter/10.1007%2F978-3-319-71467-7_11

Craniotomy - Brain-Surgery.comCraniotomy - Brain-Surgery.com

... after brain surgery Disorientation Drowsiness ependymal Ependymoma Ependymoma brain tumor Epilepsy Eyebrow Craniotomy eyebrow ... Cavernous Cavernous Hemangiomas Cavernous treatment Chemotherapy Coma Computed Tomography Scan Craniopharyngiomas Craniotomy CT ...
more infohttps://brain-surgery.com/tag/craniotomy/

Proxima Craniotomy Drape with PouchProxima Craniotomy Drape with Pouch

... This page is a grouping of multiple products. Buying options are found below the ...
more infohttp://www.egeneralmedical.com/z-dynjp10001.html

NewYork-Presbyterian Queens - CraniotomyNewYork-Presbyterian Queens - Craniotomy

Craniotomy. Procedure overview. What is a craniotomy?. A craniotomy is the surgical removal of part of the bone from the skull ... An endoscopic craniotomy is another type of craniotomy that involves the insertion of a lighted scope with a camera into the ... When either of these imaging procedures is used along with the craniotomy procedure, it is called stereotactic craniotomy. ... Generally, a craniotomy follows this process:. *You will be asked to remove any clothing, jewelry, or other objects that may ...
more infohttp://www.nyhq.org/diw/Content.asp?PageID=DIW008767&More=DIW&language=Chinese
  • We review the current known pathophysiology of post-craniotomy headaches and present a hypothesis suggesting a greater recognition of the potential contribution of neuroma formation in areas of scars tissue to contribute to this kind of headache. (scielo.br)
  • 2. The craniotomy drape of claim 1 , further comprising a fenestration in the main sheet. (google.com)
  • 3. The craniotomy drape of claim 2 , further comprising an absorbent sheet layered on top of the main sheet, said absorbent sheet includes a fenestration incident to the fenestration of the main sheet. (google.com)
  • 4. The craniotomy drape of claim 3 , further comprising an incise sheet between the main sheet and the absorbent sheet, wherein the incise sheet has an adhesive side, and further comprising a releasable layer on the adhesive side of the incise sheet. (google.com)
  • 5. The craniotomy drape of claim 3 , further comprising a fenestrated run-off pouch affixed to the absorbent sheet, with a back-side fenestration surrounding the fenestration of the main sheet, and a front-side fenestration. (google.com)
  • 6. The craniotomy drape of claim 5 , wherein the run-off pouch includes a drain port, a solids screen, and a ductile material near the edge of the front-side fenestration. (google.com)
  • 7. The craniotomy drape of claim 6 , wherein the ductile material is metal wire. (google.com)
  • 8. The craniotomy drape of claim 3 , further comprising at least one tube holder attached either directly to the main sheet or to the absorbent sheet. (google.com)
  • 15. A method of draping a patient for craniotomy procedures comprising using the craniotomy drape of claim 1 . (google.com)
  • The extended bifrontal craniotomy involves making an incision in the scalp behind the hairline and removing the bone that forms the contour of the orbits and the forehead. (hopkinsmedicine.org)
  • We present four cases of headache with variable intensity, located in close proximity to a craniotomy incision which was performed for non-traumatic reasons. (scielo.br)
  • There is still a debate about whether to perform a craniectomy or a decompressive craniotomy after evacuation of the hematoma. (scirp.org)
  • Craniotomy is distinguished from craniectomy (in which the skull flap is not immediately replaced, allowing the brain to swell, thus reducing intracranial pressure) and from trepanation, the creation of a burr hole through the cranium in to the dura mater. (wikipedia.org)
  • Some craniotomy procedures may use the guidance of computers and imaging (magnetic resonance imaging [MRI] or computerized tomography [CT] scans) to reach the precise location within the brain that is to be treated. (hopkinsmedicine.org)
  • For some craniotomy procedures, doctors use computers and imaging (magnetic resonance imaging [MRI] or computerized tomography [CT] scans). (lifebridgehealth.org)
  • Before the operation, the patient will have undergone diagnostic procedures such as computed tomography scans (CT) or magnetic resonance imaging (MRI) scans to determine the underlying problem that required the craniotomy and to get a better look at the brain's structure. (thefreedictionary.com)
  • Codeine may be given to relieve the headache that may occur as a result of stretching or irritation of the nerves of the scalp that happens during the craniotomy. (thefreedictionary.com)
  • Prospective Randomized Study Comparing Clinical, Functional and Aesthetics Results of 'Classical' Pterional and Minipterional Craniotomies. (clinicaltrials.gov)
  • Johns Hopkins neurosurgeons are highly skilled and experienced in all types of craniotomy including newer, less invasive options for brain tumor surgery, aneurysm surgery and other procedures. (hopkinsmedicine.org)
  • Doctors may also use craniotomy to take a biopsy of the brain or remove fluid. (lifebridgehealth.org)
  • Craniotomies are often critical operations, performed on patients who are suffering from brain lesions or traumatic brain injury (TBI), and can also allow doctors to surgically implant deep brain stimulators for the treatment of Parkinson's disease, epilepsy, and cerebellar tremor. (wikipedia.org)
  • We describe our initial results that suggest that augmented reality can play an important role in tailoring the size and shape of the craniotomy and for evaluating intra-operative surgical strategies. (springer.com)
  • i had 2 embolizations and a craniotomy to remove it from my right tempral lobe. (medhelp.org)
  • It is defined by the current International Classification of Headache Disorders (ICHD-II) as a headache of variable intensity, most severe near the site of craniotomy motivated by non-traumatic reasons. (scielo.br)
  • The extended bifrontal craniotomy is typically used for those tumors that are not a candidate for removal by minimally invasive approaches because of either the anatomy of the tumor, the possible pathology of the tumor or the goals of surgery. (hopkinsmedicine.org)
  • Since sitting craniotomy is usually elective, all underlying medical conditions should be completely evaluated and optimized before the surgery. (oncologynurseadvisor.com)
  • A craniotomy is the most commonly performed surgery for brain tumor removal. (thefreedictionary.com)
  • The present invention is in the field of surgical drapes, more particularly in the field of craniotomy drapes. (google.com)